Oregon Administrative Rules › Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES › Division 23 - PSYCHIATRIC EMERGENCY SERVICES › Section 309-023-0110 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
In addition to the definitions in OAR chapter 309 division 033
				the following definitions apply to these rules:
(1) "Behavioral Health" means mental health,
			 mental illness, substance use disorders, and gambling disorders.
(2) "Behavioral Health Assessment" means a
			 process which determines a patient's need for immediate crisis stabilization
			 through evaluation of the patient's strengths, goals, needs, and current level
			 of functioning.
(3) "Best Practice
			 Risk Assessment" means a research-informed methodology that provides guidelines
			 or tools to determine an individual's level of risk for attempting or
			 completing self-inflicted injury or death and may include tools such as the
			 Columbia Suicide Severity Rating Scale or other tools accepted for the
			 Substance Abuse and Mental Health Services Administration National Registry of
			 Evidence-based Programs and Practices or the Suicide Prevention Resource Center
			 Best Practices Registry.
(4) "Care
			 Coordination" means a process-oriented activity to facilitate ongoing
			 communication and collaboration to meet multiple needs Including facilitating
			 communication between 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.
(5) "Case Management" means the services
			 provided to assist individuals, who reside in a community setting, or are
			 transitioning to a community setting, in gaining access to needed medical,
			 behavioral health, social, educational, government entitlement programs, and
			 other applicable community services.
(6) "Crisis" means either 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.
(7) "Crisis Intervention"
			 means short-term services to address an immediate crisis need.
(8) "Crisis Stabilization Plan" means an
			 individualized written plan defining specific short-term rehabilitation
			 objectives and proposed crisis interventions derived from the patient's mental
			 and physical health assessment.
(9)
			 "Family" has the meaning given that term in
			 309-018-0150.
(10) "Hospital" has the meaning given that
			 term in ORS 442.015.
(11) "Lethal Means Counseling" means
			 providers implement counseling strategies to help patients at risk for suicide,
			 and their families, reduce access to lethal means, including but not limited to
			 firearms. It includes but is not limited to several components; background on
			 suicide data and lethal means, introduction to firearms, video presentation
			 that models the counseling strategy, presentation and discussion on conducting
			 a counseling session, optional role plays, and a course evaluation. (
http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means-0
).
(12) "Living Room Setting" means a care
			 setting that reflects the relaxed, warm, welcoming and non-clinical qualities
			 of a typical living room.
(13)
			 "Medically Appropriate Treatment" has the meaning given that term in OAR
			 410-172-0630.
(14) "Mental Status Examination" means an
			 overall assessment of an individual's mental functioning.
(15) "Peer" has the meaning given that term
			 in OAR 410-180-0305.
(16) "Peer Delivered Services" has the
			 meaning given that term in OAR
			 309-019-0100.
(17) "Peer Support Specialist" has the
			 meaning given that term in OAR
			 410-180-0300 and also means an
			 individual who has completed a Division approved training program (see OAR
			 410-180-0312) and is providing
			 peer delivered services to an individual or family member with similar life
			 experience, under the supervision of a qualified clinical supervisor.
(18) "Psychiatric Emergency Services (PES)"
			 means medical and behavioral health services provided to individuals
			 experiencing an acute disturbance of thought, mood, behavior, or social
			 relationship that requires an immediate intervention as defined by the patient,
			 family or the community, to prevent harm to the patient or others.
(19) "Safety Plan" means a patient directed
			 document developed through a collaborative process in which the provider
			 assists the patient in listing strategies for the patient to use when suicide
			 ideation is elevated or after a suicide attempt. A safety plan template is
			 available from the Suicide Prevention Resource Center at
http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means-0
.
(20) "Transition of Care Coordination" also
			 known as a Warm Handoff, means the process of transferring a patient from one
			 provider to another, prior to discharge.
(21) "Trauma Informed Services" has the
			 meaning given that term in OAR
			 309-018-0105(77).
			 The Authority's trauma informed service policy may be found at
https://www.oregon.gov/oha/amh/pages/trauma.aspx
.
Stat. Auth.: ORS
				  413.042
Stats. Implemented: ORS
				  413.042