Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 72 - MOBILE CRISIS INTERVENTION SERVICES AND STABILIZATION SERVICES › Section 309-072-0160 - Stabilization Services

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Stabilization services may be provided to all individuals.
(2) Stabilization services must be provided
			 to eligible children younger than 21 years of age and their families,
			 regardless of insurance type.
(a)
			 Stabilization services are designed to maintain the child, as defined in OAR
			 309-019-0105
			 (21), in their current living arrangement;
			 prevent unnecessary emergency room visits and hospitalizations; stabilize
			 behavioral health needs; and improve functioning in life domains. Stabilization
			 services must be provided from a family driven, youth guided, trauma-informed
			 approach;
(b) Providers delivering
			 stabilization services must be trained in accordance with OAR
			 309-072-0120;
(c) Children younger than 21 years of age
			 must be considered for stabilization services without discrimination on the
			 basis of race, ethnicity, gender, gender identity, gender presentation, sexual
			 orientation, insurance type, religion, creed, national origin, intellectual or
			 developmental disability, IQ score, or physical disability;
(d) Stabilization services must be initiated
			 for eligible children and their families within three days of the initial
			 mobile crisis response and may extend up to 56 calendar days;
(e) Families must be involved in
			 stabilization services for children under the age of 18, to the extent
			 possible. Individuals over the age of 18 may choose the extent to which their
			 family is involved in services;
(f)
			 Providers must collaborate with their local emergency departments and/or crisis
			 clinics to establish pathways and timelines for responding to children being
			 referred to stabilization services;
(g) Providers must maintain and implement
			 written policies and protocols, Letters of Agreement, or MOU in place with
			 their local emergency departments and/or crisis clinics;
(h) Children who meet one or more of the
			 following criteria, may be eligible to receive stabilization services:
(A) Mental health concerns related to
			 patterns of behavioral and emotional challenges, which require continued
			 intervention and coordination to maintain functioning and prevent
			 escalation;
(B) Lack of current
			 connection to the appropriate resources, services, and supports;
(C) Further assessment, referral, and
			 treatment for substance use;
(D)
			 Further assessment, referral, and treatment for children with Intellectual and
			 Developmental Disabilities (IDD);
(E) Suicidal ideation or at significant risk
			 of suicide;
(F) Escalation in
			 frequency and intensity of agitation or aggression, due to behavioral health
			 crisis, putting themselves or others at risk;
(G) Lower levels of care are not expected to
			 be effective in safely supporting the child and their family in the
			 community.
(i) The
			 provider in collaboration with the child and their family must complete and
			 document the following at the start of stabilization services:
(A) Written informed consent for ongoing
			 stabilization services;
(B) An
			 assessment in accordance with OAR
			 309-019-0135;
(C) Development or update of the crisis and
			 safety plan;
(D) Written program
			 materials including roles and responsibilities of team members, emergency
			 contacts, and connection to a consumer warm line and resources;
(E) Service plan as described in OAR
			 309-019-0140.
(j) The service plan includes the appropriate
			 treatment and supports to meet assessed clinical needs of the child and family,
			 which may include the following supports, as agreed upon by the youth and
			 family:
(A) Skills training;
(B) Individual therapy;
(C) Family therapy;
(D) Medication management;
(E) Case management;
(F) Care coordination;
(G) Youth peer support services, for children
			 14 and older;
(H) Family peer
			 support services;
(I) 24-hour
			 crisis response.
(k) Each
			 child and their family receiving stabilization services must be assigned a
			 Qualified Mental Health Professional (QMHP) and a Family Support Specialist, in
			 accordance with OAR 410-180-0305:
(A) The Family Support Specialist must
			 contact the family within 72 hours of starting stabilization services to
			 introduce their role and services;
(B) The assigned QMHP and Family Support
			 Specialist must coordinate services and take a team-based approach to
			 supporting children and their family while they are enrolled in stabilization
			 services.
(l) Services
			 must be provided, in person, whenever possible, with services and supports to
			 the child and their family provided as frequently as necessary to meet the
			 needs outlined in the service plan;
(m) Providers must complete the Authority
			 approved assessment tools at the start and end of services and submit the
			 assessment to an Authority approved database within 14 days of service
			 completion;
(n) Providers must
			 document a transition plan and must include at minimum:
(A) Review service plan and progress towards
			 goals and objectives;
(B)
			 Recommendations for ongoing services and supports;
(C) Referrals to specialized services,
			 including substance use disorders and IDD;
(D) Upcoming scheduled appointments and
			 engagements;
(E) Crisis and safety
			 plan;
(F) How to access crisis
			 services in the future.
(o) The provider must review and provide a
			 copy of the transition plan document to the child and their family;
(p) The provider must connect the child and
			 family to the appropriate services and supports to meet their needs in the
			 least restrictive environment;
(q)
			 When clinically indicated in the service plan, stabilization services may be
			 extended past the initial 56 calendar days to ensure transition to appropriate
			 services, aftercare services, and supports are in place;
(r) Provider must contact the child and their
			 family for follow up within five days of discharge from stabilization services
			 to ensure that they have successfully transitioned to ongoing services and
			 supports. If unable to contact the child and their family the attempt must be
			 documented.