Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS › Section 309-022-0105 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Abuse of a
			 Child" means the circumstances defined in ORS
			 419B.005.
(2) "Adolescent" means an individual from 12
			 through 17 years of age, or individuals determined to be developmentally
			 appropriate for youth services.
(3)
			 "ASAM Criteria" means the most current edition of the American Society of
			 Addiction Medicine (ASAM) for the treatment of addictive, substance-related,
			 and co-occurring conditions, which is a clinical guide to develop
			 patient-centered service plans and make objective decisions about admission,
			 continuing care, and transfer or discharge for individual.
(4) "Assessment" means the process of
			 obtaining sufficient information through a face-to-face interview to determine
			 a diagnosis and to plan individualized services and supports.
(5) "Authority" means the Oregon Health
			 Authority.
(6) "Behavioral Health"
			 means mental health, mental illness, addictive health, and addiction
			 disorders.
(7) "Behavior Support
			 Plan" means the individualized proactive support strategies that are used to
			 support positive behavior.
(8)
			 "Behavior Support Strategies" mean proactive supports designed to replace
			 challenging behavior with functional, positive behavior. The strategies address
			 environmental, social, neuro-developmental, and physical factors that affect
			 behavior.
(9) "Care Coordination"
			 means a process-oriented activity to facilitate ongoing communication and
			 collaboration to meet multiple needs. Care coordination includes facilitating
			 communication between the 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 levels of care and transitions for young adults in
			 transition to adult services.
(10)
			 "Certificate" means the document issued by the Division that identify and
			 declare certification of a provider pursuant to OAR
			 309-008-0100 to
			 309-008-1600. A letter
			 accompanying issuance of the certificate details the scope and approved service
			 delivery locations of the certificate.
(11) "Chemical Restraint" means the
			 administration of medication for the acute management of potentially harmful
			 behavior.
(12) "Chief Officer or
			 Director" means the Chief Health Systems Officer of the Authority or
			 designee.
(13) "Child" means an
			 individual under the age of 18. An individual with Medicaid eligibility in need
			 of services specific to children, adolescents, or young adults in transition
			 shall be considered a child until age 21.
(14) "Children's Emergency Safety
			 Intervention Specialist (CESIS)" means a Qualified Mental Health Professional
			 (QMHP) licensed to order, monitor, and evaluate the use of seclusion and
			 restraint in accredited and certified facilities providing intensive mental
			 health treatment services to individuals less than 21 years of age.
(15) "Clinical Supervision" means oversight
			 by a qualified clinical supervisor of addictions and mental health services and
			 supports, including ongoing evaluation and improvement of the effectiveness of
			 those services and supports.
(16)
			 "Clinical Supervisor" means an individual qualified to oversee and evaluate
			 addictions or mental health services and supports.
(17) "Community Mental Health Program (CMHP)"
			 means the organization of various services for individuals with a mental health
			 diagnosis or addictive disorders, operated by or contractually affiliated with
			 a local mental health authority and operated in a specific geographic area of
			 the state under an agreement with the Division pursuant to OAR
			 309-014-0000.
(18) "Co-occurring Substance Use and Mental
			 Health Disorders (COD)" means the existence of both a substance use disorder
			 and a mental health disorder.
(19)
			 "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 Authority under ORS
			 414.625 to be accountable for
			 care management and to provide integrated and coordinated health care for each
			 of the CCO's members.
(20)
			 "Criminal Records Check" means the Oregon Criminal Records Check and the
			 processes and procedures required by OAR
			 943-007-0001 through
			 943-007-0501.
(21) "Crisis" means an actual or perceived
			 urgent or emergent situation that occurs when an individual's stability or
			 functioning is disrupted and there is an immediate need to resolve the
			 situation to prevent a serious deterioration in the individual's mental or
			 physical health or to prevent referral to a significantly higher level of
			 care.
(22) "Cultural Competence"
			 means the process by which people and systems respond respectfully and
			 effectively to individuals of all cultures, languages, classes, races, ethnic
			 backgrounds, disabilities, religions, genders, sexual orientations, and other
			 diversity factors in a manner that recognizes, affirms, and values the worth of
			 individuals, families, and communities and protects and preserves the dignity
			 of each.
(23) "Declaration for
			 Mental Health Treatment" means a written statement of an individual's
			 preferences concerning their mental health treatment. The declaration is made
			 when the individual can understand and legally make decisions related to the
			 treatment. It is honored, as clinically appropriate, in the event the
			 individual becomes unable to make treatment decisions.
(24) "Diagnosis" means the principal mental
			 health, substance use, or problem gambling diagnosis listed in the Diagnostic
			 and Statistical Manual of Mental Disorders (DSM). The diagnosis is determined
			 through the assessment and any examinations, tests, or consultations suggested
			 by the assessment and is the medically appropriate reason for
			 services.
(25) "Division" means the
			 Health Systems Division.
(26) "DSM"
			 means the most recent version of the Diagnostic and Statistical Manual of
			 Mental Disorders published by the American Psychiatric Association.
(27) "Emergency Safety Intervention" means
			 the use of seclusion or personal restraint as an immediate response to an
			 unanticipated threat of violence or injury to an individual or
			 others.
(28) "Emergency Safety
			 Intervention Training" means a Division-approved course that includes an
			 identified instructor, a specific number of face-to-face instruction hours, a
			 component to assess competency of the course materials, and an established
			 curriculum including the following:
(a)
			 Prevention of emergency safety situations using positive behavior support
			 strategies identified in the individual's behavior support plan;
(b) Strategies to safely manage emergency
			 safety situations; and
(c)
			 De-escalation and debriefing.