309-022-0160 Program Specific Requirements In addition to the general requirements for all ITS providers set forth in OAR 309-022-0150 and 0155, the facilities and programs shall meet the following requirements: (1) Psychiatric Residential Treatment Facilities (PRTF): (a) Children shall either have or be screened for an Individual Education Plan, Personal Education Plan, or an Individual Family Service Plan; (b) PRTFs shall maintain one or more linkages with acute care hospitals or CCOs to coordinate necessary inpatient care; (c) Psychiatric residential clinical care and treatment shall be under the direction of a psychiatrist and delivered by an interdisciplinary team of board-certified or board-eligible child and adolescent psychiatrists, registered nurses, psychologists, other qualified mental health professionals, and other relevant program staff. A psychiatrist shall be available to the unit 24-hours per day, seven days per week; and (d) PRTFs shall be staffed at a clinical staffing ratio of not less than one program staff for three children during the day and evening shifts at all times. At least one program staff for every three program staff members during the day and evening shifts shall be a QMHP or QMHA. For overnight program staff there shall be a staffing ratio of at least one program staff for six children at all times for each program unit. At least one of the overnight program staff shall be a QMHA. For units that by this ratio have only one overnight program staff, there shall be additional program staff immediately available within the facility or on the premises. At least one QMHP shall be on site or on call at all times. At least one program staff with designated clinical leadership responsibilities shall be on site at all times. (2) Programs providing PRTS shall meet the requirements for PRTF’s listed in section (1)(a). (3) Programs providing SCIP and SAIP services shall meet the requirements for PRTFs listed in section (1). They shall also establish policies and practices to meet the following: (a) The staffing model shall allow for the child’s frequent contact with the child psychiatrist a minimum of one hour per week; (b) Psychiatric nursing staff shall be provided in the program 24 hours per day; (c) A psychologist, psychiatric social worker, rehabilitation therapist, and psychologist with documented training in forensic evaluations shall be available 24 hours per day as appropriate; and (d) Program staff with specialized training in SCIP or SAIP shall be available 24 hours per day; (e) The program shall provide all medically appropriate psychiatric services necessary to meet the child’s psychiatric care needs; (f) The program shall provide secure psychiatric treatment services in a manner that ensures public safety to youth who are under the care and custody of the Oregon Youth Authority, court ordered for psychiatric evaluation, or admitted by the authority of the JPSRB; and(g) The program may not rely on external entities such as law enforcement or acute hospital care to assist in the management of the SCIP or SAIP setting. (4) In addition to the services provided as indicated by the assessment and specified in the service plan, Sub-Acute Psychiatric Care providers shall: (a) Provide psychiatric nursing staffing at least 16 hours per day; (b) Provide nursing supervision and monitoring and psychiatric supervision at least once per week; and (c) Work actively with the child and family team and multi-disciplinary community partners to plan for the long-term emotional, behavioral, physical, and social needs of the child to be met in the most integrated setting in the community. (5) Residential Adolescent Substance Use Disorders Treatment and Recovery Services Programs approved to provide adolescent substance use disorders treatment services or those with adolescent-designated service funding shall meet the following standards: (a) Development of service plans, and case management services shall include participation of parents, other family members, schools, children's services agencies, and juvenile corrections, as appropriate; (b) Services or appropriate referrals shall include: (A) Family counseling; (B) Education services; (C) Community and social skills training; and (D) Smoking cessation service. (c) Continuing care services shall be of appropriate duration and designed to maximize recovery opportunities. The services shall include: (A) Reintegration services and coordination with family and schools; (B) Youth dominated self-help groups where available; (C) Linkage to emancipation services when appropriate; and (D) Linkage to physical or sexual abuse counseling and support services when appropriate . (6) Psychiatric Day Treatment Services (PDTS): (a) PDTS shall be provided to children who remain at home with a parent, guardian, or foster parent by qualified mental health professionals and qualified mental health associates in consultation with a psychiatrist; (b) An education program shall be provided, and children shall be screened for an Individual Education Plan, Personal Education Plan, or Individual Family Service Plan; and (c) Psychiatric Day Treatment programs shall be staffed at a clinical staffing ratio of at least one QMHP or QMHA for three children. Statutory/Other Authority: ORS 161.390, 413.042, 430.256, 426.490 - 426.500, 428.205 - 428.270, 430.640 & 443.450 Statutes/Other Implemented: ORS 109.675, 161.390 - 161.400, 179.505, 413.520 - 413.522, 426.380 - 426.395, 426.490 - 426.500, 430.010, 430.205 - 430.210, 430.240 - 430.640, 430.850 - 430.955, 443.400 - 443.460, 443.991 & 743A.168 History: BHS 24-2018, amend filed 12/27/2018, effective 01/25/2019 BHS 16-2018, temporary amend filed 07/17/2018, effective 08/01/2018 through 01/27/2019 MHS 7-2017, f. & cert. ef. 6-23-17 MHS 27-2016(Temp), f. & cert. ef. 12-29-16 thru 6-26-17 MHS 5-2014, f. & cert. ef. 2-3-14 MHS 8-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14