410-173-0070 HCBS Psychosocial Rehabilitation for Persons with Chronic Mental Illness (1) Psychosocial Rehabilitation (PSR) services shall be identified and agreed upon within the PCSP and shall: (a) Support the desires and goals of the Individual receiving services; (b) Increase the independence of the Individual receiving PSR; (c) Reduce an Individual’s need for assistance from another person; and (d) Maintain the health and safety of the Individual and others in the home or community. (2) PSR services shall be provided face-to-face as defined in these rules and as chosen by the Individual and supported by the Individual’s needs. PSR services are identified, and agreed to by the Individual, including the amount, frequency, duration and scope of services in the PCSP, as appropriate in the amount, frequency, duration, modality, and scope of services identified and approved in the Individual’s PCSP, and include the following: (a) Comprehensive medication services as prescribed by an LMP; (b) Individual therapy; (c) Group therapy; (d) Family therapy; (e) Psychiatric skills training; (f) Behavioral health counseling therapy; (g) Psychiatric activity therapy or community psychiatric supportive treatment; and (h) Assertive community treatment as described in OAR 309-019-0225 through 309-019-0255. (3) PSR services shall be consistent with the following: (a) Evidence-based or evidence-informed practices; and (b) The amount, frequency, duration, and scope of services delivered as identified in the PCPS. (4) PSR services shall be provided in the following settings, as identified within the PCSP, and provided by appropriate provider types identified in (5) of this rule : (a) Community; (b) Individuals own or family home; (c) OHA licensed AFH; (d) OHA licensed RTH; (e) OHA licensed RTF; (f) ODHS, APD licensed Adult Foster Homes; (g) ODHS, ODDS licensed Adult Foster Homes; (h) ODHS, APD licensed Residential Care Facilities that are not considered secure; (i) ODHS, APD licensed Assisted Living Facilities; or (j) ODHA, ODDS certified Group Care Homes and State Operated Group Homes for Adults. (5) PSR services shall be provided by the following provider types who meet the qualifications defined in OAR chapter 309 division 019, OAR chapter 410 division 172, or OAR chapter 410 division180: (a) LMP; (b) QMHP; (c) QMHA; (d) Mental Health Intern; or (e) Behavioral health organization certified by the Authority under ORS 430.610 to 430.695. (6) Provision of PSR is allowed for eligible Individuals who are being temporarily served in an acute care hospital setting to enable direct care workers or other home and community-based providers to accompany Individuals to acute care hospital setting; (a) These services shall be focused on providing personal, behavioral and communication supports not otherwise provided in an acute care hospital; (b) The service shall only be delivered in the acute care hospital setting for up to thirty (30) days; (c) Identified in an Individual’s person-centered service plan; (d) Provided to meet needs of the Individual that are not met through the provision of hospital services; (e) Not be a substitute for services that the hospital is obligated to provide through its conditions of participation or under Federal or State law, or under another applicable requirement; and (f) Designed to ensure smooth transitions between acute care settings and home and community-based settings, and to preserve the Individual’s functional abilities. (7) Psychosocial rehabilitation services under the 1915(i) differ in nature, scope, supervision arrangements, and provider type (including provider training and qualifications) from psychosocial rehabilitation services otherwise available. Statutory/Other Authority: ORS 413.032, 413.042, 426.495, 430.630 & 430.640 Statutes/Other Implemented: ORS 413.032, 413.042, 426.495, 430.630 & 430.640 History: DMAP 42-2024, amend filed 02/14/2024, effective 02/29/2024 DMAP 46-2019, adopt filed 11/07/2019, effective 11/26/2019 DMAP 12-2019, temporary adopt filed 05/21/2019, effective 06/01/2019 through 11/27/2019