2023 Oregon Revised Statutes › Volume : 11 - Juvenile Code, Human Services › Chapter 430 - Mental and Behavioral Health Treatment; Developmental Disabilities › Section 430.231 - Improving People’s Access to Community-based Treatment, Supports and Services Program established; purpose; duties of Grant Review Committee; rules.

(1) The Improving People’s Access to Community-based Treatment, Supports and Services Program is established in recognition of the shortage of comprehensive community supports and services for individuals with mental health or substance use disorders, leading to their involvement with the criminal justice system, hospitalizations and institutional placements. The purpose of the program is to address this need by awarding grants to counties and Oregon’s federally recognized Indian tribes to establish evidence-based and tribal-based programs to provide the needed supports and services.
(2) The Improving People’s Access to Community-based Treatment, Supports and Services Grant Review Committee established in ORS 430.234 shall adopt rules for administering the program, including rules:
(a) Identifying the target population of people with frequent criminal justice involvement and behavioral health conditions to be served by the programs funded with the grants;
(b) Prescribing a methodology for the committee to review and approve grant applications;
(c) Establishing program or service outcome measures;
(d) Establishing criteria for allowing a grantee to use a grant or a portion of a grant to:
(A) Expand the workforce of providers of mental health or substance abuse services in the community; or
(B) Provide permanent, supportive housing for individuals with mental health or substance use disorders; and
(e) Allowing the committee to terminate an agreement with an entity that fails to meet the grant requirements or has been found to have misused funds or committed fraud. The ability to meet the grant requirements may be a consideration in future funding or the amount of funding.
(3) The committee shall allocate funds in the Improving People’s Access to Community-based Treatment, Supports and Services Account established in ORS 430.233 to grantees. The funds may not be used for a purpose other than the programs providing supports and services for which the grants were awarded.
(4) If unallocated funds remain at the conclusion of the grant acceptance period, the committee may establish a supplemental grant period and distribute the unallocated funds to the counties or Oregon’s federally recognized Indian tribes that received grants.
(5) Up to 20 percent of the funds in the account may be used for operating a statewide program to support the design and implementation of community-based services, including but not limited to:
(a) Technical assistance to prospective grantees in developing proposals, particularly for developing proposals for supportive housing;
(b) Technical assistance to grantees for troubleshooting data collection requirements and sharing information with third parties as necessary for carrying out the programs;
(c) Statewide training, provided in-person and remotely, for grantees and nongrantees, focused on improving outcomes for the target population;
(d) Making resources available to district attorneys and defense attorneys for consultation on cases involving defendants with complex behavioral health issues;
(e) Developing or strengthening a centralized system to make available to communities practitioners in professional specialties for which there is a shortage, including practitioners of addiction medicine and psychiatry; and
(f) A one-time investment in information technology to support the data system needs for the evaluation, accountability and innovation components of the program.
(6)(a) The committee shall procure and enter into contracts for goods, services and personal services related to the creation, operation, maintenance and management of information technology systems for the purpose of carrying out this section.
(b) The committee shall procure and enter into contracts for goods, services and personal services related to designing, developing, conducting, performing and completing research, review, audits, statistical analyses, investigations, studies, reports and evaluations for the purpose of carrying out this section.
(7) Three percent of the funds in the account must be used to support outcome measures, evaluation or both.
(8) An application for a grant must be submitted by the federally recognized Indian tribe or the local public safety coordinating council on behalf of the county and:
(a) Must include:
(A) Letters of support and commitments from community leaders or organizations that are not members of the local public safety coordinating council, including but not limited to:
(i) Agencies working with homeless individuals;
(ii) Behavioral health care providers;
(iii) Coordinated care organizations; and
(iv) Local hospitals.
(B) For applications from counties, a report of the input from the local federally recognized Indian tribes and, to the extent feasible, an explanation of how the input was incorporated into the design of the program, supports and services.
(C) For applications from federally recognized Indian tribes, a report of the input from the local public safety coordinating council and, to the extent feasible, an explanation of how the input was incorporated into the design of the program, supports and services.
(D) An agreement to screen all participants receiving supports and services funded by the grants for potential eligibility for medical assistance and to assist eligible participants to apply for medical assistance, including an agreement for a process for sharing data and protecting the confidentiality of recipients among the program participants.
(E) A process for program partners, participating jails and hospitals to:
(i) Provide information upon admission or at intake about the potential risks and benefits of tribal notification; and
(ii) Offer tribal members the opportunity to disclose their statuses and situations to the federally recognized Indian tribe of their choosing.
(b) May include a request to have more flexibility in using existing state funding to provide supports and services that address the need described in subsection (1) of this section.
(9) Annually, grantees shall report to the committee and to the Oregon Health Authority the medical assistance enrollment data in addition to other outcome measures or evaluation metrics collected as part of the grant for participants receiving supports and services provided with funds from the grants. [2019 c.563 §1]
Note:
See note under 430.230.