reglab/statecodes huggingface dataset:
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 309-022-0145 - Service Record

Current through Register Vol. 63, No. 7, July 1, 2024
(1) All
			 providers shall develop and maintain a service record for each individual upon
			 entry.
(2) Documentation shall be
			 appropriate in quality and quantity to meet professional standards applicable
			 to the provider and any additional standards for documentation in the
			 provider's policies and any pertinent contracts.
(3) The service record shall, at a minimum,
			 include:
(a) Identifying information or
			 documentation of attempts to obtain the information, including:
(A) The individual's name, address, telephone
			 number, date of birth, and gender;
(B) Name, address, and telephone number of
			 the parent or legal guardian, primary care giver, or emergency
			 contact;
(C) Contact information
			 for medical and dental providers.
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 309-022-0150 - Minimum Program Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
ITS providers shall meet the following general
				requirements:
(1) Maintain the
			 organizational capacity and interdisciplinary treatment capability to deliver
			 clinically and developmentally appropriate services in the medically
			 appropriate amount, intensity, and duration for each child specific to the
			 child's diagnosis, level of functioning, and the acuity and severity of the
			 child's psychiatric symptoms.
(2)
			 Maintain 24-hour, seven days per week treatment responsibility for children in
			 the program.
(3) Non-residential
			 programs shall maintain on-call capability at all times to respond directly or
			 by referral to the treatment needs of children, including crises, 24 hours per
			 day, and seven days per week.
(4)
			 Inform the Division and the legal guardian within twenty-four hours of
			 reportable incidents.
(5) Maintain
			 linkages with primary care physicians, CMHPs, and MHOs and the child's parent
			 or guardian to coordinate necessary continuing care resources for the
			 child.
(6) Maintain linkages with
			 the applicable education service district or school district to coordinate and
			 provide the necessary educational services for the children and integrate
			 education services in all phases of assessment, service and support planning,
			 active treatment, and transition planning.
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
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 309-022-0155 - General Staffing Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) ITS providers shall have the clinical
			 leadership and sufficient QMHP, QMHA, and other program staff to meet the
			 24-hour, seven days per week treatment needs of children and shall establish
			 policies, procedures, and contracts to assure:
(a) Availability of psychiatric services to
			 meet the following requirements:
(A)
			 Provision of medical oversight of the clinical aspects of care in nationally
			 accredited sub-acute and psychiatric residential treatment facilities and
			 provide 24-hour, seven days per week psychiatric on-call coverage, or consult
			 on clinical care and treatment in psychiatric day treatment; and
(B) Assessment of each child's medication and
			 treatment needs, prescribe medicine or otherwise assure that case management
			 and consultation services are provided to obtain prescriptions, and prescribe
			 therapeutic modalities to achieve the child's service plan goals.
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 309-022-0160 - Program Specific Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
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.
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 309-022-0165 - Behavior Support Services

Current through Register Vol. 63, No. 7, July 1, 2024
Behavior support services shall be proactive,
				recovery-oriented, individualized, and designed to facilitate positive
				alternatives to challenging behavior, as well as to assist the individual in
				developing adaptive and functional living skills. All providers shall:
(1) Develop and implement individual behavior
			 support strategies, based on a functional or other clinically appropriate
			 assessment of challenging behavior.
(2) Document the behavior support strategies
			 and measures for tracking progress as a behavior support plan in the service
			 plan.
(3) Establish a framework
			 that assures individualized positive behavior support practices throughout the
			 program and articulates a rationale consistent with the philosophies supported
			 by the Division, including the Division's Trauma-informed Services
			 Policy.
(4) Obtain informed consent
			 from the parent or guardian, when applicable, in the use of behavior support
			 strategies and communicate both verbally and in writing the information to the
			 individual and guardian in a language understood by the individual and in a
			 developmentally appropriate manner.
(5) Establish outcome-based tracking methods
			 to measure the effectiveness of behavior support strategies in:
(a) Reducing or eliminating the use of
			 emergency safety interventions; and
(b) Increasing positive behavior.
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 309-022-0170 - Emergency Safety Interventions

Current through Register Vol. 63, No. 7, July 1, 2024
Providers of ITS services shall:
(1) Adopt policies and procedures for
			 emergency safety interventions as part of a crisis prevention and intervention
			 policy. The policy shall be consistent with the provider's trauma-informed
			 services policies and procedures.
(2) Inform the individual and their parent or
			 guardian of the provider's policy regarding the use of personal restraint and
			 seclusion during an emergency safety situation by both furnishing a written
			 copy of the policy and providing an explanation in the individual's primary
			 language that is developmentally appropriate.
(3) Obtain a written acknowledgment from the
			 parent or guardian that they are informed of the provider's policies and
			 procedures regarding the use of personal restraint and seclusion.
(4) Prohibit the use of mechanical restraint,
			 chemical restraint and prone restraints.
(5) Prohibit the use of supine restraints
			 unless licensed as a SCIP or SAIP program.
(6) Establish an emergency safety
			 interventions committee or designate this function to an already established
			 quality assessment and performance improvement committee. Committee membership
			 shall minimally include a program staff with designated clinical leadership
			 responsibilities, the person responsible for staff training in crisis
			 intervention procedures, and other clinical personnel not directly responsible
			 for authorizing the use of emergency safety interventions. The committee shall:
(a) Monitor the use of emergency safety
			 interventions to assure that individuals are safe-guarded and their rights are
			 always protected;
(b) Meet at least
			 monthly and shall report in writing to the provider's quality assessment and
			 performance improvement committee at least quarterly regarding the committee's
			 activities, findings, and recommendations;
(c) Analyze emergency safety interventions to
			 determine opportunities to prevent their use, increase the use of alternatives,
			 improve the quality of care and safety of individuals receiving services, and
			 recommend whether follow up action is needed;
(d) Review and update emergency safety
			 intervention policies and procedures annually;
(e) Conduct individual and aggregate review
			 of all incidents of personal restraint and seclusion; and
(f) Report the aggregate number of personal
			 restraints and incidents of seclusion to the Division within 30 days of the end
			 of each calendar quarter.
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 309-022-0180 - Transfer and Continuity of Care

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Providers shall meet the following
			 requirements for planned transfer:
(a)
			 Decisions to transfer individuals shall be documented in a transfer summary.
			 The documentation shall include the reason for the transfer;
(b) Planned transfers shall be consistent
			 with the transfer criteria established by the interdisciplinary team and
			 documented in the service plan;
(c)
			 Providers may not transfer services unless the interdisciplinary team in
			 consultation with the child's parent or guardian and the next provider agree
			 that the child requires a more or less restrictive level of care; and
(d) If the determination is made to admit the
			 child to acute care, the provider may not transfer services during the acute
			 care stay unless the interdisciplinary team in consultation with the child's
			 parent or guardian and the next provider agree that the child requires a more
			 or less restrictive level of care following the acute care stay.
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 309-022-0185 - Quality Assessment and Performance Improvement

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each provider shall develop and implement
			 a structured and ongoing process to assess, monitor, and improve the quality
			 and effectiveness of services provided to individuals and their families,
			 including:
(a) A quality improvement
			 committee; and
(b) A performance
			 improvement process documented in a performance improvement plan.
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 309-022-0190 - Grievances and Appeals

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any
			 individual receiving services or the parent or guardian of the individual may
			 file a grievance with the provider, the individual's managed care plan, or the
			 Division.
(2) Medicaid grievances
			 and appeals shall adhere to procedures set forth in OAR
			 410-141-0260 through
			 410-141-0266.
(3) For individuals whose services are not
			 funded by Medicaid, providers shall:
(a)
			 Notify each individual or guardian of the grievance procedures by reviewing a
			 written copy of the policy upon entry;
(b) Assist individuals and parents or
			 guardians, as applicable, to understand and complete the grievance process and
			 notify them of the results and basis for the decision;
(c) Encourage and facilitate resolution of
			 the grievance at the lowest possible level;
(d) Complete an investigation of any
			 grievance within 30 calendar days;
(e) Implement a procedure for accepting,
			 processing, and responding to grievances including specific timelines for
			 each;
(f) Designate a program staff
			 person to receive and process the grievance;
(g) Document any action taken on a
			 substantiated grievance within a timely manner; and
(h) Document receipt, investigation, and
			 action taken in response to the grievance.
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 309-022-0192 - Variance

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Requirements
			 and standards for requesting and granting variances or exceptions are found in
			 OAR 309-008-1600 and OAR
			 415-012-0090.
(2) Granting a variance for one request does
			 not set a precedent that must 1 be followed by the Division when evaluating
			 subsequent requests for variance.
Statutory/Other Authority: ORS
				  161.390,
				  413.042,
				  430.256,
				  428.205 -
				  428.270 &
				  430.640
Statutes/Other Implemented: ORS
				  109.675,
				  161.390 -
				  161.400,
				  179.505,
				  413.520 -
				  413.522,
				  430.010,
				  430.205 -
				  430.210,
				  430.240 -
				  430.640,
				  430.850 -
				  430.955,
				  461.549 &
				  743A.168
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 309-022-0195 - Licensure as a Children's Emergency Safety Intervention Specialist (CESIS)

Current through Register Vol. 63, No. 7, July 1, 2024
To obtain a license as a CESIS, an agency that is certified by
				the Division to provide intensive mental health treatment services for
				individuals less than 21 years of age shall make an application on behalf of
				the licensure applicant. The Division shall issue a license as a CESIS to each
				applicant who furnishes satisfactory evidence to the Division that the
				applicant meets the following qualifications:
(1) Is employed by or providing services
			 under contract with a provider that is certified by the Division to provide
			 intensive mental health treatment services for individuals under 21 years of
			 age;
(2) Meets qualifications
			 established by the Division by rule for Qualified Mental Health Professionals;
(3) Has successfully completed an
			 emergency safety intervention training program approved by the Division within
			 the past 12 months;
(4)
			 Demonstrates the ability to assess the psychological and physical well-being of
			 individuals less than 21 years of age;
(5) Demonstrates knowledge of federal and
			 state rules governing the use of seclusion and personal restraint in intensive
			 mental health treatment programs for individuals under 21 years of
			 age.
Stat. Auth.: ORS
				  413.042 &
				  426.415
Stats. Implemented: ORS
				  426.415
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 309-022-0200 - CESIS Scope of Licensure

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 A licensed CESIS is authorized to:
(a) Order
			 the least restrictive intervention, including seclusion and personal restraint
			 that is most likely to be effective in resolving an emergency safety situation
			 if the treatment team physician is not available.
(b) Provide the federally mandated
			 face-to-face assessment of an individual under 21 years of age's well-being
			 within one hour of the initiation of the emergency safety intervention; and
(c) Accept verbal orders for
			 seclusion and personal restraint from a physician or licensed practitioner who
			 is authorized to order seclusion and personal restraint.
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 309-022-0205 - CESIS License Applications

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Application for licensure as a CESIS shall be made to the Division and be on
			 forms prescribed by the Division.
(2) Application for licensure shall be
			 accompanied by a formal written request from a provider that is certified by
			 the Division, pursuant to OAR
			 309-008-0100 to
			 309-008-1600, to provide
			 intensive mental health treatment services for individuals under 21 years of
			 age with which the applicant is employed or contracted. The request must
			 include:
(a) Official transcripts and
			 supporting documentation as necessary showing the applicant meets
			 qualifications established by rule for a QMHP;
(b) Verification that an emergency safety
			 intervention course approved by the Division has been successfully completed
			 within the past 12 months;
(c)
			 Verification of certification in CPR and First Aid by a recognized training
			 agency;
(d) A signed Background
			 Check Request form as described in OAR chapter 943 division 007. The Criminal
			 Record Check form will request information regarding criminal history and other
			 information;
(e) Verification of
			 employment or contracted services with a provider that is certified by the
			 Division to provide intensive mental health treatment services for individuals
			 under 21 years of age;
(f) A copy
			 of the completed examination or evaluation the provider used to determine the
			 applicant's competence to assess the psychological and physical well-being of
			 individuals under 21 years of age; and
(g) A copy of the completed examination or
			 evaluation the provider used to determine the applicants knowledge of the
			 federal and state rules governing the use of seclusion and personal restraint
			 in intensive mental health treatment programs for individuals less than 21
			 years of age.
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 309-022-0210 - Issuance of a License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Division shall issue a license within 30 days of the submission of a completed
			 application. The license shall state the name of the licensee, the provider and
			 expiration date.
(2) The license
			 shall be placed in the licensee's personnel file and be easily visible.
(3) An initial license is valid
			 from the time of issuance until the expiration date, which will be September
			 30th of the following calendar year.
Stat. Auth.: ORS
				  413.042 &
				  426.415
Stats. Implemented: ORS
				  426.415
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 309-022-0215 - Renewal and Expiration of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A license issued under these rules is
			 subject to renewal every 2 years.
(a) All
			 licenses will expire on September 30th. The issuance date of the licensee's
			 first license will determine if the license expires on an odd or even year.
(b) At least 30 days prior to the
			 expiration of a license, a reminder notice will be sent by the Division to the
			 licensee and the provider.
(c) A
			 licensee seeking renewal of a license shall have a provider with whom they are
			 employed or contracted submit on their behalf:
(A) Proof of fulfillment of the following
			 requirements;
(i) Verification of current
			 certification in CPR and First aid by a recognized training agency;
(ii) A copy of the evaluation completed
			 within the last year of the applicants competence to assess the psychological
			 and physical well-being of individuals less than 21 years of age.
(iii) A copy of the evaluation completed
			 within the last year demonstrating the applicant's knowledge of federal and
			 state rules governing the use of seclusion and personal restraint in intensive
			 mental health treatment services programs for individuals less than 21 years of
			 age.
(B) Proof of
			 continued employment or contract with a facility certified by the Division to
			 provide intensive mental health treatment services for individuals less than 21
			 years of age.
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 309-022-0220 - Complaints

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any person who
			 believes these rules have been violated may file a compliant with the Division.
(2) The Division shall establish a
			 protocol for investigation of complaints and make that information available to
			 anyone who files a complaint or has a complaint filed against them. Following
			 the Divisions investigation of a complaint, the Division may take action to:
(a) Dismiss the complaint;
(b) Issue a letter of reprimand;
(c) Direct the Provider to draft a plan of
			 correction with the licensee; or
(d) Institute disciplinary action.
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 309-022-0225 - Denial, Suspension, Revocation or Non-renewal of License

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Division
			 may deny, suspend, revoke or refuse to issue or to renew any license issued
			 under these rules upon proof that the applicant for licensure or the licensee:
(a) Has been convicted of one or more crimes
			 described in OAR 943-007 entitled "Criminal Records Checks".
(b) Is unable to perform the duties of a
			 CESIS by reason of mental illness, physical illness, drug addiction or alcohol
			 abuse;
(c) Has been grossly
			 negligent in the duties of a CESIS;
(d) Has violated one or more of the rules of
			 the Division pertaining to the licensure of a CESIS;
(e) Has practiced outside the scope of
			 activities for which the licensee has individual training and qualification; or
(f) Has been disciplined by a
			 state licensing board or program in this or any other state for violation of
			 competency or conduct standards.
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 309-022-0230 - Appeal Process

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An appeal of
			 a denial, suspension, probation or revocation of a license may be requested in
			 writing to the Division from a provider of intensive mental health treatment
			 services for children less than 21 years of age on behalf of their employee or
			 contractor.
(2) The Division's
			 Director or designee shall review all material relating to the denial,
			 suspension, revocation or non-renewal, including any written documentation
			 submitted by the licensee and provider. Based on review of the material, the
			 Director will decide whether to sustain the decision. If the decision is not
			 sustained, the denial, suspension, revocation or non-renewal shall be rescinded
			 immediately. The decision of the Division is subject to a contested case
			 hearing under ORS Chapter 183 if requested within 90 days of the decision.
Stat. Auth.: ORS
				  413.042 &
				  426.415
Stats. Implemented: ORS
				  426.415
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0100 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
These rules prescribe standards of care and other requirements
				relating to psychiatric emergency services delivered in an emergency department
				at a licensed hospital or licensed hospital satellite.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0120 - PES Facility Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For
			 purposes of these rules, psychiatric emergency services shall be delivered in
			 an emergency department through a hospital or hospital satellite licensed in
			 accordance with OAR chapter 333 division 500.
(2) The PES facility shall comply with the
			 following:
(a) Standards for Regional Acute
			 Care Psychiatric Services for Adults pursuant to OAR
			 309-032-0850 to 0870.
(b) Be approved as a hospital hold facility
			 pursuant to OAR 309-033-0500 to 0550.
(c) Meet the structural and physical
			 requirements set forth in OAR chapter 333 division 535 and
			 309-033-0727.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0130 - Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Psychiatric
			 emergency services may include up to 23 hours of triage and assessment,
			 observation and supervision, crisis stabilization, crisis intervention, crisis
			 counseling, case management, medication management, safety planning, lethal
			 means counseling, and mobilization of peer and family support and community
			 resources.
(2) The facility shall
			 deliver services that are individualized, recovery-oriented, trauma informed,
			 developmentally and medically appropriate and consistent with best practices
			 for suicide risk assessment, intervention and treatment.
(3) Staff must promptly conduct an assessment
			 to determine the precipitating factors that lead to the crisis and a screening
			 assessment which shall include a best practice evaluation of risk of harm to
			 self or others, a mental status exam, need for immediate behavioral health
			 assessment, including depression screening, need for emergency intervention, a
			 medical screening exam, and collection of collateral information.
(4) Staff shall develop a crisis
			 stabilization plan that provides the most effective treatment based on the
			 patient's provisional psychiatric condition and, to the maximum extent
			 possible, incorporates patient or family preferences. For purposes of these
			 rules, the term families includes families of choice. The facility shall offer
			 peer delivered services to the patient and family and, if accepted, shall be
			 incorporated in care coordination and crisis stabilization plan.
(5) The facility shall provide access to
			 existing community based rehabilitation, reasonable access to peer and family
			 support and social services that may be used to help the patient transition to
			 the community and provide documentation of other needed interventions including
			 crisis counseling and family counseling.
(6) Transition of care coordination shall
			 include to the extent possible and when the patient agrees:
(a) A face-to-face meeting with a community
			 provider and the patient, and if possible, family, and hospital staff prior to
			 discharge.
(b) A face-to-face
			 meeting may be accomplished via technology that provides secure, unrecorded,
			 audio video in a private setting with a community provider and the patient, and
			 if possible, family and hospital staff.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0140 - Seclusion and Restraint

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 facility shall be certified as a Class 1 facility pursuant to OAR
			 309-033-0520. A Class 1 facility
			 is a facility that is approved under applicable administrative rules to be
			 locked to prevent a patient from leaving the facility, to use seclusion and
			 restraint, and to involuntarily administer psychiatric medication.
(2) The facility shall comply with seclusion
			 and restraint requirements set forth in OAR chapter 309 division 33.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0150 - Involuntary Detainment & Informed Consent

Current through Register Vol. 63, No. 7, July 1, 2024
(1) For individuals who are in custody, under
			 a civil commitment, hospital hold or on diversion, the PES facility must comply
			 with the administrative rules in OAR chapter 309, division 33 which govern the
			 administration, standards of care, standards for obtaining informed consent,
			 administration of emergency procedures without informed consent, and
			 transportation of individuals being held in custody, whether the individual is
			 under a civil commitment order, a hospital hold, or on diversion from a civil
			 commitment.
(2) The facility shall
			 have written policies concerning the care, custody, and treatment of
			 individuals in custody or on diversion. These policies shall be reviewed as
			 part of the Division's approval process, and be in accordance with OAR chapter
			 309 division 33.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0160 - Staffing Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An
			 adequate number of clinical staff and on-site peer support specialists shall be
			 available and specifically trained in psychiatric emergency services.
(2) A licensed psychiatrist shall be
			 available to meet with patients as needed at any time and on site no less than
			 12 hours each day to assess individuals and initiate the development of a
			 crisis stabilization plan and oversee patient care.
(3) At a minimum, one registered nurse, and
			 one licensed mental health professional shall be on-site 24/7, and shall be
			 dedicated to providing psychiatric emergency services to individuals in
			 crisis.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0170 - Staff Training

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 facility shall have policies and procedures for ongoing educational programs to
			 instruct staff regarding best practices in psychiatric emergency
			 services.
(2) A staff training
			 curriculum shall include, but is not limited to:
(a) Criteria for the admission of an
			 individual who can safely be served by the facility;
(b) Recognition of indicators of violence to
			 self or others, or assault and criteria for the transfer of the individual to
			 or from the facility;
(c)
			 Indicators of medical problems, identification of medication side effects, and
			 indicators of medical problems and medical crisis;
(d) Management of aggressive behavior and
			 de-escalation techniques;
(e)
			 Trauma Informed care in accord with the Authority's Trauma Informed Policy at
https://www.oregon.gov/oha/amh/pages/trauma.aspx
;
(f) Practices to provide
			 psychoeducation and post-discharge safety to patients and families;
(g) Best practice treatment for substance use
			 disorders
(h) Staff training in
			 best practices for:
(A) Lethal means
			 counseling which may include the CALM (
http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means
)
			 or similar curriculum;
(B)
			 Collaboration with patients on development of safety plans which may include
			 guidelines established by the Suicide Prevention Resource Center,
http://www.sprc.org/sites/default/files/SafetyPlanningGuide%20Quick%20Guide%20for%20Clinicians.pdf
;
			 and
(C) Risk
			 assessment.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0180 - Quality Assessment and Improvement and Patient Outcomes

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Facilities must
			 comply with the quality assessment and improvement requirements set forth in
			 OAR 309-032-0870
			 (10).
(2) In addition to the quality assessment
			 requirements in section (1) facilities shall maintain records of outcomes, for
			 each patient, outlined in the PES provider manual.
(3) Facilities shall report annually to the
			 Authority regarding quality assessment information set forth in OAR
			 309-032-0870 and outcomes
			 described in the PES provider manual. The report shall use data to demonstrate
			 the quality, cost-effectiveness, and patient satisfaction with PES. The
			 Authority shall review the PES facility reports annually and may make changes
			 to PES policy or payment based on outcome performance.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 27 - Youth Suicide Communication and Post-Intervention Plan › Section 309-027-0010 - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Oregon
			 Administrative Rules (OAR)
			 309-027-0010 through
			 309-027-0060 implement Senate
			 Bill (SB) 561 from Oregon's 2015 Regular Session, and SB 485 and SB 918 from
			 Oregon's 2019 Regular Session.
(2)
			 These administrative rules:
(a) Identify
			 Local Mental Health Authorities (LMHAs) as the entities responsible for
			 initiating and coordinating the community response to each case of suicide
			 which meets the criteria established in SB 561 (2015):
(b) Identify what information shall be
			 communicated to tribes, youth-serving entities, and individuals after a
			 suspected youth suicide death by the LMHAs; and
(c) Describe the information public school
			 districts, public universities listed in ORS
			 352.002, or private
			 post-secondary institutions of education are required to report to LMHAs after
			 a suspected youth suicide death.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 27 - Youth Suicide Communication and Post-Intervention Plan › Section 309-027-0020 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Authority"
			 means the Oregon Health Authority (OHA).
(2) "Authority's Plan" means the Authority's
			 Youth Suicide Communication and Postvention Plan developed to implement SB 561
			 codified as ORS 418.735.
(3) "Communication Protocol" means the plan
			 identifying information-sharing pathways to improve notifications and
			 information-sharing regarding a suspected youth suicide between the LMHA and
			 community partners, and the individuals within those entities to communicate or
			 receive communications.
(4)
			 "Community partners" includes local individuals, entities, and organizations
			 including medical examiners, public school districts, public universities,
			 private post-secondary institutions of education, or any facility or
			 organization that provides services or resources to runaway or homeless
			 youth.
(5) "Coordinator" means the
			 Authority's Youth Suicide Prevention Policy Coordinator or their
			 designee.
(6) "Decedent" means an
			 individual 24 years of age or younger who is no longer living as reported by a
			 medical examiner or designee.
(7)
			 "Designated Reporter" means the individual designated by the primary LMHA to
			 report a suspected youth suicide to the Oregon Health Authority.
(8) "LMHA" means a Local Mental Health
			 Authority as defined in ORS
			 430.630.
(9) "Medical examiner" has the same meaning
			 given that term in ORS
			 146.003(10) or
			 a physician appointed as provided by ORS
			 146.003 to
			 146.189 to investigate and
			 certify the cause and manner of deaths requiring investigation, including the
			 State Medical Examiner.
(10)
			 "Post-Intervention" or "Postvention" means the activities implemented after a
			 suspected youth suicide, including support for the bereaved family, friends,
			 professionals, peers and those with geographic, social or social media ties to
			 the decedent. "Post-intervention and "postvention" are used interchangeably. In
			 order to meet the needs of those bereaved by a suicide, and to reduce the risk
			 of suicide contagion "postvention" includes:
(a) Immediate postvention response
			 implemented in the immediate days and weeks after a suspected youth
			 suicide;
(b) Intermediate
			 postvention response implemented in the several months after a suspected youth
			 suicide; and
(c) Long-term
			 postvention response implemented up to a year after the suspected youth
			 suicide.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 27 - Youth Suicide Communication and Post-Intervention Plan › Section 309-027-0030 - Communication Protocol

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each LMHA,
			 in collaboration with tribes and community partners, shall identify local
			 pathways for information-sharing and shall establish a Communication Protocol
			 to communicate across and within the LMHA and community partners, including
			 tribes, to inform and mobilize postvention response. This includes both a
			 protocol from the LMHA to youth-serving entities and from any public school
			 district, public university listed in ORS
			 352.002, and private
			 post-secondary institution of education to the LMHA in the event of a suspected
			 youth suicide death.
(2)
			 Communication Protocols from the LMHA to youth-serving entities shall, at the
			 minimum:
(a) Identify the tribes, community
			 partners, and youth-serving entities involved in developing and implementing
			 the protocol;
(b) Identify the
			 specific roles and responsibilities of the LMHA, community partners, and
			 youth-serving entities for implementing the protocol;
(c) Identify how a Communication Lead will be
			 identified for responding to each suspected youth suicide. The Communication
			 Lead may vary among incidents, depending on the nature of the death, location
			 of the death, age of the decedent, or other factors. The Communication Lead may
			 be an individual designated by a tribe, school district or university, the
			 LMHA, another facility, or another community partner. The Communication Lead is
			 responsible for centralizing information-sharing activities in the event of a
			 suspected youth suicide;
(d) Detail
			 the communication-sharing process among community partners, including tribes;
			 and
(e) Identify the process for
			 determining the specific information and data that will be communicated from
			 the LMHA via the Communication Lead to all relevant youth-serving entities or
			 individuals. This may vary based on the specific circumstances of the youth
			 suicide death, but must include:
(A) The name
			 of the decedent;
(B) The birthdate
			 of the decedent;
(C) The date of
			 death of the decedent;
(D) Any
			 other information that the local mental health authority determines is
			 necessary to preserve the public health and that is not otherwise protected
			 from public disclosure by state or federal law.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 27 - Youth Suicide Communication and Post-Intervention Plan › Section 309-027-0040 - Response Protocol

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Each LMHA,
			 in collaboration with community partners, shall develop a Response Protocol
			 identifying tribes, community partners, programs, individuals and others within
			 the community that may be notified of a suspected youth suicide or mobilized to
			 provide post-intervention response to a suspected youth suicide.
(2) At minimum, the Response Protocol shall:
(a) Identify the community partners and
			 youth-serving entities, which shall be involved in developing and implementing
			 the Response Protocol;
(b) Identify
			 the roles, responsibilities, services, and available resources of each
			 community partner involved in implementing the Response Protocol including the
			 immediate, intermediate and long-term postvention response;
(c) Identify the process for notification to
			 local systems that had contact with the decedent individual in the event of a
			 suspected youth suicide. This may include:
(A)
			 Sample scripts for communication of death notification to local youth-serving
			 entities;
(B) A description of the
			 process to determine what information should be included in each
			 notification.
(d)
			 Identify how a Postvention Response Lead shall be identified for responding to
			 each suspected youth suicide. The Postvention Response Lead may vary, depending
			 on the circumstances and may be an individual designated by a tribe, school
			 district or university, the LMHA, or another community partner. The Postvention
			 Response Lead is responsible for coordinating postvention response and the
			 notification process to local systems that had contact with the decedent in the
			 event of a suspected youth suicide. The Postvention Response Lead for the
			 Response Protocol also may be the Communication Lead;
(e) Establish and disseminate the postvention
			 notification and response process among community partners and youth-serving
			 entities or individuals connected to the decedent, including outreach to
			 families, families of choice, and tribes, if applicable; and
(f) Identify the evaluation process used by
			 community partners to debrief and assess the effectiveness of each suspected
			 youth suicide response and the mechanism to adjust processes, as indicated, in
			 the future. The evaluation process shall include an assessment of the
			 effectiveness of meeting the needs of grieving families and families of choice;
			 friends or others with relationships with the decedent; and the wider network
			 of community members impacted by the suspected youth suicide;
(g) Identify how the Primary LMHA will notify
			 other LMHAs linked to the decedent through residency, employment, school
			 attendance, or significant family or social ties.
Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 27 - Youth Suicide Communication and Post-Intervention Plan › Section 309-027-0050 - Technical Assistance

Current through Register Vol. 63, No. 7, July 1, 2024
As part of the Authority's plan for communication and response
				coordination among LMHAs and community partners, the Authority shall provide
				technical assistance for developing and updating protocols, including
				Coordinator assistance through:
(1)
			 Providing comments regarding best practices to LMHAs on the content of
			 communication and response protocols;
(2) Providing technical assistance regarding
			 best practices in preparing the protocols;
(3) Providing technical assistance on best
			 practices in implementing the protocols; and
(4) Providing technical assistance on best
			 practices in responding to suspected youth suicides. This may include telephone
			 assistance on a case by case basis, general information in the form of
			 publications, web content, presentations or webinars.
Stat. Auth.: ORS
				  413.042,
				  430.630,
				  430.634,
				  430.640
Stats. Implemented: ORS
				  418.735.