Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 33 - CIVIL COMMITMENT PROCEEDINGS › Section 309-033-0282 - Establishing and Monitoring Conditions of Placement

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 The conditions of placement serve as the objective and legal civil commitment
			 service goals documented as part of an electronic medical or health record. The
			 conditions of placement shall be established prior to the person's release from
			 the more restrictive setting.
(a) The initial
			 conditions of placement shall be established by the director of the county of
			 commitment. Any subsequent changes to the conditions of placement shall be
			 managed by the director of the county of placement.
(b) The conditions of placement shall include
			 at minimum:
(A) Where the person is to
			 physically reside. This may be a physical location description or physical
			 address.
(B) The identified person
			 responsible for ensuring monitoring tasks are completed including the person's
			 name, credential(s), and contact information, including email address and phone
			 number.
(C) For outpatient
			 commitment, the designation of a facility, program, or service where the person
			 is to receive care, including contact information. Facilities, programs, and
			 services providing mental health treatment shall be designated in accordance
			 with OAR 309-033-0270(4).
			 At least one of the following professional supports shall be identified in the
			 conditions of placement:
(i) The identified
			 provider for treatment or medication management, including contact information;
			 or
(ii) The identified care
			 coordinator, case manager, or outreach worker who maintains a therapeutic or
			 supportive relationship with the person and assists the person with the
			 following tasks, but not exclusively the following tasks: benefits
			 coordination, ensuring housing needs are met, securing support in meeting
			 instrumental activities of daily living (I/ADLs), money management, and meeting
			 other identified needs.
(D) For trial visits pursuant to ORS
			 426.273(2),
			 should outpatient care be a condition of placement Section (C) of this rule
			 shall apply to the trial visit conditions of placement.
(E) A list of activities, behaviors, and
			 tasks that the person on community-based placement shall be expected to adhere
			 to, which may include but are not limited to:
(i) Mental health treatment and counseling
			 services;
(ii) Co-occurring
			 disorder or substance use disorder services or supports;
(iii) Residential treatment
			 services;
(iv) Medication
			 management;
(v) Case management and
			 care coordination; and
(vi) Skills
			 training.
(c)
			 The director establishing the conditions of placement shall make reasonable
			 efforts to obtain a release of information signed by the person under civil
			 commitment that authorizes the sharing and exchange of the person's protected
			 health information (PHI), including mental health and substance use
			 authorizations, between all parties associated with the conditions of
			 placement. Any sharing or exchange of the person's PHI shall be for care
			 coordination purposes.
(d)
			 Conditions of placement shall be distributed to individuals or entities in
			 accordance with ORS 426.278:
(A) The committed person;
(B) The community mental health program
			 director or designee of the county of placement;
(C) The director of any facility, service or
			 other provider designated to provide care or treatment;
(D) The court of the county of
			 commitment;
(E) The court of the
			 county of placement if the person is living in a different county than the
			 county of commitment.