415-057-0010 Definitions (1) “Assistant Director” means the Assistant Director of the Addictions and Mental Health Division of the Oregon Health Authority, or their designee. (2) "ASAM PPC-2R" means the American Society of Addiction Medicine Patient Placement Criteria for the Treatment of Substance-related Disorders, Second Edition Revised, April 2001, which is a clinical guide used in matching individuals to appropriate levels of care, and incorporated by reference in these rules. (3) “Care Coordination” means a process-oriented activity to facilitate ongoing communication and collaboration to meet multiple needs. Care coordination includes facilitating communication between the Doc institution transition representatives, 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 the program and the community. (4) "Client" means a person receiving services in an Oregon prison-based Alcohol and Other Drugs treatment program under these rules and who has signed a written consent that complies with Section 2.35 of the federal confidentiality regulations (42 CFR Part 2). (5) “Co-occurring Disorders" or “COD” means co-occurring substance use and mental health disorders. (6) “Comprehensive Diagnostic Assessment" means the process for obtaining all pertinent information, ancillary and causal factors, as identified by the individual, family and collateral sources used to determine a diagnosis and develop the individualized treatment plan. (7) “Criminal Risk Factor Assessment” of the Oregon Accountability Model (OAM) means the assessment process implemented by the Oregon DOC. The outcome is a corrections plan for every inmate that is tracked throughout an inmate’s incarceration and supervision in the community. (8) “Criminal Risk Factors” means factors that predict criminal behavior. The risk factors are assessed at DOC central intake and integrated in the corrections plan for each inmate. (9) “Department of Corrections Prison-Based Alcohol and Other Drugs Treatment Program” means a treatment program for adult inmates of state correctional institutions who are within the last six to twelve months of release from incarceration. The program provides Alcohol and Other Drugs treatment and recovery services and collaborates with partners to ensure a seamless re-entry into the community. (10) "Division" means the Addictions and Mental Health Division of the Oregon Health Authority. (11) “DOC” means the Oregon Department of Corrections. (12) "DSM" means the "Diagnostic and Statistical Manual of Mental Disorders", published by the American Psychiatric Association. (13) “DSM Five-axis Diagnosis” means the multi-axial diagnosis, consistent with the Diagnostic and Statistical Manual of Mental Disorders, resulting from the assessment. (14) “Evidence Based Practice (EBP)” means clinical Alcohol and Other Drugs treatment practices that are based on generally accepted scientific research. Treatment programs document efforts to assure fidelity to a practice and measure the impact of a practice on the clients, participants and communities. (15) "Intern or student" means an individual who is supervised by a qualified supervisor defined in section 415-057-0120 of this rule, provides a clinical or non-clinical program service, and who is enrolled in a credentialed or accredited educational program. (16) “Oregon Accountability Model (OAM)” means the simultaneous, coordinated and efficient implementation of DOC initiatives and projects that provide a foundation for inmates to lead productive lives upon re-entry into the community. (17) “Oregon Corrections Plan” means the specific activities the inmate performs to learn skills in order to mitigate the risk factors identified through the assessment process. (18) “Permanent client record" means the official clinical written file for each client containing all information required by these rules. The permanent client record is maintained to demonstrate compliance with these rules. (19) "Primary Counselor" means a program staff person who is assigned to the client and follows the case throughout the treatment process. (20) “Program” means the Alcohol and Other Drugs Prison-Based Treatment Program. (21) "Quality assurance" means the process of objectively and systematically monitoring and evaluating the appropriateness of client care to identify and resolve identified problems. (22) "Qualified Mental Health Associate (QMHA)” means a person delivering services under the direct supervision of a Qualified Mental Health Professional (QMHP) and meeting the following minimum qualifications as documented by the Local Mental Health Authority (LMHA) or designee: (a) A bachelor's degree in a behavioral sciences field or a combination of at least three years relevant work, education, training or experience; and (b) Who has the competencies necessary to: (A) Communicate effectively; (B) Understand mental health assessment, treatment and service terminology and to apply these concepts; and (C) Provide psychosocial skills development and the ability to implement interventions prescribed in a treatment plan within the scope of his or her practice. (23) "Qualified Mental Health Professional (QMHP)" means a Licensed Medical Practitioner (LMP) or any other person meeting the following minimum qualifications as documented by the LMHA or designee: (a) A graduate degree in social work, psychology, a behavioral science field or recreational, art or music therapy; or (b) A bachelor's degree in nursing and licensed by the State of Oregon; or Bachelor’s degree in occupational therapy and licensed by the State of Oregon; and (c) Education and experience demonstrating the competencies to identify precipitating events; gather histories of mental and physical disabilities, recognizing and understanding alcohol and drug use, past mental health services and criminal justice contacts; assessing family, social and work relationships; conducting a mental status examination; documenting a multiaxial DSM diagnosis; writing and supervising a treatment plan; conducting a Comprehensive Mental Health Assessment; and providing individual, family, and group therapy within the scope of his or her practice. (24) “Responsivity factors” means individual factors that facilitate or interfere with learning and are focused on personal characteristics that regulate an individual's ability and motivation to learn and change behavior. (25) "Substance related disorders" are defined in DSM criteria as disorders related to taking a drug, including alcohol, to the side effects of a medication, and to a toxin exposure. The disorders include substance dependency and substance abuse, alcohol dependence and alcohol abuse, and substance induced disorders and alcohol induced disorders. (26) “Supportive Persons” means any person approved by the DOC that the client identifies as being supportive to the recovery process of the client, including but not limited to a spouse, domestic partner, parent, child, relative, mentor, recovery coach, elder, or representative from a faith-based organization or self-help community organization. (27) “Unusual Incidents” means an incident or circumstance involving any DOC inmate participating in the program that constitutes an immediate threat to the life or health of self, staff, another inmate, private citizen, or to the property of the DOC. (28) "Treatment" means the specific medical and non-medical therapeutic techniques employed to assist the client in recovering from substance related disorders. (29) "Volunteer" means an individual who provides an Alcohol and Other Drugs treatment program service or who takes part in an Alcohol and Other Drugs treatment program service and who is not an employee of the program and is not paid for services. Statutory/Other Authority: ORS 413.042, 409.410 & 409.420 Statutes/Other Implemented: ORS 430.240 - 430.640, 430.850 - 430.955, 813.010 - 813.052 & 813.200 - 813.270 History: ADS 2-2010, f. & cert. ef. 5-6-10