Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 19 - OUTPATIENT BEHAVIORAL HEALTH SERVICES › Section 309-019-0105 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) "Abuse of an
			 Adult" means the circumstances defined in ORS
			 430.735, OAR Chapter 943,
			 Division 45 and OAR Chapter 407, Division 45 for abuse of an adult with mental
			 illness or who is receiving residential substance use disorder treatment or
			 withdrawal management services.
(2)
			 "Abuse of a Child" means the circumstances defined in ORS
			 419B.005 and ORS
			 418.257.
(3) "Active Supervision" means a designated
			 supervisor is physically present who provides direct or indirect observation of
			 the program staff, to determine if the service or task is being completed
			 properly and providing intervention and consultation as needed.
(4) "Activities of Daily Living (ADL) or
			 Instrumental Activities of Daily Living (IADL)" means those personal functional
			 activities required by an individual for continued well-being, which are
			 essential for health and safety. Activities include eating, dressing, and
			 grooming, bathing and personal hygiene, mobility, toileting, and
			 cognition.
(5) "Acute Care
			 Psychiatric Hospital" means a hospital or facility that provides 24 hours-a-day
			 psychiatric, multi-disciplinary, inpatient, or residential stabilization, care,
			 and treatment.
(6) "Adolescent"
			 means an individual from 12 through 21 years of age or those individuals
			 determined to be developmentally appropriate for such services.
(7) "Adult" means an individual 18 years of
			 age or older or an emancipated minor. An individual with Medicaid eligibility
			 who needs services specific to children, adolescents, or young adults in
			 transition shall be considered a child until age 21 for the purposes of these
			 rules. Adults who are between the ages of 18 and 21 who are considered children
			 for purposes of these rules shall have all rights afforded to adults as
			 specified in these rules.
(8)
			 "ASAM" means The American Society of Addiction Medicine (ASAM).
(9) "The ASAM Criteria" means the criteria in
			 the Third Edition of The American Society of Addiction Medicine (ASAM) for the
			 assessment, level of care placement and treatment of addictive,
			 substance-related, and co-occurring conditions. The ASAM Criteria is a clinical
			 guide to developing patient-centered service plans and making objective
			 decisions about admission, continuing care, and transfer or discharge for
			 individuals. The ASAM Criteria is incorporated by reference in these
			 rules.
(10) "ASAM Co-Occurring
			 Capable" means an array of psychiatric and mental health services that meet the
			 individuals' needs are made available to individuals when indicated, by the
			 program or coordinated by the program.
(11) "ASAM Co-occurring Enhanced" means
			 mental health services that include psychiatric evaluation, medication
			 management and therapy are made available to the individuals, when indicated,
			 by the program. Program staff are cross trained on substance use disorders and
			 mental health treatment and can document the relationship between the disorders
			 and the individual's level of functioning.
(12) "ASAM Dimensional Criteria" means the
			 documented data demonstrates that the individual meets the criteria per ASAM
			 dimension, as described in The ASAM Criteria, for the ASAM Level of Care
			 assessed.
(13) "ASAM Enhanced
			 Service designation(s)" as described in The ASAM Criteria, Third Edition,
			 includes service types per ASAM Level of Care that the program may choose to
			 apply and be approved by the Division to render, to either adults or
			 adolescents, when it corresponds to an ASAM Level of Care that is certified by
			 the Division.
(14) "ASAM Level of
			 Care" means one of several discrete intensities of services and supports, as
			 described within The ASAM Criteria, Third Edition, within a substance use
			 disorders program that are delivered in a structured, programmatic fashion, by
			 a Division certified outpatient or licensed residential provider.
(a) "Early Intervention ASAM Level of Care
			 0.5 (ASAM Level 0.5)" means organized services designed to explore and address
			 problems or risk factors that may be related to substance use and assist
			 individuals in recognizing the harmful consequences of high-risk substance use
			 and addictive behavior. ASAM Level 0.5 may be delivered as a Driving Under the
			 Influence of Intoxicants (DUII) service where the length and number of contacts
			 may be mandated, and completion of the program may be a prerequisite to the
			 reinstatement of driving privileges. Individuals eligible for this ASAM level
			 of care do not meet DSM-5-TR diagnostic criteria for a substance use
			 disorder.
(b) "Outpatient Substance
			 Use Disorder Services ASAM Level of Care 1" means organized services delivered
			 in a variety of settings and include a vast array of outpatient services and
			 supports, which are tailored to the severity and function of the individual and
			 typically are less than 9 contact hours per week. ASAM Level 1 programs enhance
			 access to care and facilitate earlier engagement into treatment. Services and
			 supports address major lifestyle, attitudinal and behavioral issues related to
			 the substance use that detract from progress towards service plan
			 goals.
(c) "Intensive Outpatient
			 Substance Use Disorder Services ASAM Level of Care 2.1" means structured
			 services and supports, mostly comprised of counseling and education. Mental
			 health services are either offered by the program or tightly coordinated with a
			 community provided. When planning a transition to ASAM Level 1 services, a
			 program may provide less than the minimum number of contact hours for up to two
			 weeks: 9 for adults and 6 for children.
(d) "Partial Hospitalization Services ASAM
			 Level of Care 2.5" means clinically intensive programming of 20 contact hours
			 or more per week, which is specified by the service plan. Needs identified in
			 Dimensions 1, 2 and 3 warrant daily monitoring or management within an
			 outpatient or combined in a residential setting. Programs staff
			 interdisciplinary teams and offer intensive case management. Psychiatric and
			 medical services are either offered by the program or coordinated.