Or. Admin. R. 309-019-0105 - Definitions
(1) "Abuse of an
Adult" means the circumstances defined in ORS
430.735
and OAR Chapter 407, Division 45 for abuse of an adult with mental
illness.
(2) "Abuse of a Child"
means the circumstances defined in ORS
419B.005.
(3) "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.
(4) "Substance Use,
Problem Gambling, and Mental Health Services and Supports" means all services
and supports including but not limited to Outpatient Behavioral Health Services
and Supports for Children and Adults, Intensive Treatment Services for
Children, Outpatient and Residential Substance Use Disorders Treatment
Services, and Outpatient and Residential Problem Gambling Treatment
Services.
(5) "Adolescent" means an
individual from 12 through 17 years of age or those individuals determined to
be developmentally appropriate for youth services.
(6) "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.
(7)
"Assertive Community Treatment (ACT)" means an evidence-based practice designed
to provide comprehensive treatment and support services to individuals with
serious and persistent mental illness. ACT is intended to serve individuals who
have severe functional impairments and who have not responded to traditional
psychiatric outpatient treatment. ACT services are provided by a single
multi-disciplinary team, which typically includes a psychiatrist, a nurse, and
at least two case managers and are designed to meet the needs of each
individual and to help keep the individual in the community and out of a
structured service setting, such as residential or hospital care. ACT is
characterized by the following:
(a) Low client
to staff ratios;
(b) Providing
services in the community rather than in the office;
(c) Shared caseloads among team
members;
(d) Twenty-four-hour staff
availability;
(e) Direct provision
of all services by the team (rather than referring individuals to other
agencies); and
(f) Time-unlimited
services.
(8)
"Assessment" means the process of obtaining sufficient information through a
face-to-face interview to determine a diagnosis and to plan individualized
services and supports.
(9) "ASAM
Criteria" means the most current edition of the American Society of Addiction
Medicine (ASAM) for the Treatment of Addictive, Substance-related, and
Co-Occurring Conditions, which is a clinical guide to develop patient-centered
service plans and make objective decisions about admission, continuing care,
and transfer or discharge for individuals and is incorporated by reference in
these rules.
(10) "Authority" means
the Oregon Health Authority, the agency established in ORS 413 that administers
the funds for Titles XIX and XXI of the Social Security Act. It is the single
state agency for the administration of the medical assistance program under ORS
414. For purposes of these rules, the agencies under the authority of the
Oregon Health Authority are the Public Health Division, Health Systems
Division, External Relations, Health Policy and Analytics, Fiscal and
Operations, Office of Equity and Inclusion, and the Oregon State
Hospital.
(11) "Behavioral Health
Treatment" means treatment for mental health, substance use disorders, and
problem gambling.
(12) "Behavior
Support Plan" means the individualized proactive support strategies used to
support positive behavior.
(13)
"Behavior Support Strategies" means proactive supports designed to replace
challenging behavior with functional, positive behavior. The strategies address
environmental, social, neuro-developmental, and physical factors that affect
behavior.
(14) "Best Practice Risk
Assessment" has the meaning given that term in OAR 309-023-0110.
(15) "Board Registered Intern" means a
post-graduate who is listed as active on the applicable Oregon Board registry
with one of the following qualifications:
(a)
Psychologist Associate Residents as described in OAR 858-010-0037;
(b) Licensed Psychologist Associate under
continued supervision as described in OAR 858-010-0038;
(c) Licensed Professional Counselor intern or
Marriage and Family Therapist intern registered with the Oregon Board of
Licensed Professional Counselors and Therapists as described in OAR
833-050-0011;
(d) Certificate of
Clinical Social Work Associate issued by the Oregon Board of Licensed Social
Workers as described in OAR 877-020-0009;
(e) Registered Bachelor of Social Work issued
by the Oregon Board of Licensed Social Workers as described in OAR
877-015-0105.
(16) "Brief
Intervention" means an early intervention for those using substances , by
utilizing tribal-based, evidence-based, or culturally-based practice designed
to engage and motivate individuals at risk of substance use disorder and
related health problems to seek services and/or supports. Brief interventions
can also be used to encourage those with more serious dependence or disorders
to accept more intensive treatment. Brief interventions are intended to address
problematic or risky substance use that presents with or without a previous
diagnosis.
(17) "Care Coordination"
means a process-oriented activity to facilitate ongoing communication and
collaboration to meet multiple needs. Care coordination includes facilitating
communication between the 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 and transitions for young adults in
transition to adult services.
(18)
"Case Management" or "Targeted 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, social, educational,
entitlement, and other applicable services.
(19) "Certificate of Approval" means the
document issued by the Authority that identifies and declares certification of
a provider pursuant to OAR chapter 309, division 008.
(20) "Chief Officer" means the Chief Health
Systems Officer of the Division or designee.
(21) "Child" means an individual under the
age of 18. 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 purposes of these rules.
(22) "Clinical Supervision" means oversight
by a qualified clinical supervisor of the rendering of substance use, problem
gambling, and mental health services and supports, according to these rules,
including ongoing evaluation and improvement of the effectiveness of those
services and supports.
(23)
"Clinical Supervisor" means program staff qualified to oversee and evaluate the
rendering of substance use, problem gambling, or mental health services and
supports.
(24) "Collaborative
Educational Agreement" means an individualized written arrangement between an
accredited college or university and a Division-certified provider pertaining
to a student's internship or field placement experience.
(25) "Co-occurring Substance Use, Problem
Gambling, and Mental Health Disorders (COD)" means the existence of a diagnosis
for a substance use disorder, problem gambling disorder, or and a mental health
disorder.
(26) "Community Health
Worker" or "CHW" means an individual who meets qualification criteria adopted
by the authority under ORS
414.665
(Traditional health workers utilized by coordinated care
organizations)
(27) "Community
Mental Health Program (CMHP)" means the organization of various services for
individuals with a mental health diagnosis or addictive disorders operated by
or contractually affiliated with a local mental health authority and operated
in a specific geographic area of the state under an agreement with the Division
pursuant to OAR chapter 309, division 014.
(28) "Conditional Release" means placement by
a court or the Psychiatric Security Review Board (PSRB) of an individual who
has been found eligible under ORS
161.327
or
161.336
for supervision and treatment in a community setting.
(29) "Coordinated Care Organization (CCO)"
means a corporation, governmental agency, public corporation, or other legal
entity that is certified as meeting the criteria adopted by the Authority under
ORS
414.625
to be accountable for care management and to provide integrated and coordinated
health care for each of the organization's members.
(30) "Court" means the last convicting or
ruling court unless specifically noted.
(31) "Criminal Records Check" means the
Oregon Criminal Records Check and the processes and procedures required by OAR
943-007-0001 through 0501.
(32)
"Crisis" means an actual or perceived urgent or emergent situation that occurs
when an individual's stability or functioning is acutely 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 or death.
(33) "Crisis Intervention" has the meaning
given that term in OAR 309-023-0110.
(34) "Crisis Line Services" means phone-based
services that establish immediate communication links and provide supportive
interventions and information for individuals in an urgent or emergent
situation.
(35) "Crisis Plan" means
an individualized document designed to help anticipate and prevent future
crisis episodes and direct interventions in the instance of a crisis.
(36) "Crisis Stabilization Services" means
providing evaluation and treatment to individuals experiencing a crisis. Crisis
Services may be provided prior to completion of an intake. These services are
intended to stabilize the person in crisis, prevent further deterioration and
provide immediate treatment and intervention in a location best suited to meet
the needs of the individual and in the least restrictive environment available.
(37) "Culturally Responsive" means
services that are respectful of and relevant to the beliefs, practices, culture
and linguistic needs of diverse consumer/client populations and communities
whose members identify as having particular cultural or linguistic affiliations
by virtue of their place of birth, ancestry or ethnic origin, religion,
preferred language or language spoken at home. Cultural responsiveness
describes the capacity to respond to the issues of diverse communities. It thus
requires knowledge and capacity at different levels of intervention: systemic,
organizational, professional, and individual.
(38) "Culturally Specific Program" means a
program designed to meet the unique service needs of a specific culture and
that provides services to a majority of individuals representing that
culture.
(39) "Declaration for
Mental Health Treatment" means a written statement of an individual's
preferences concerning their mental health treatment. The declaration is made
when the individual is able to understand and legally make decisions related to
such treatment. It is honored, as clinically appropriate, in the event the
individual becomes unable to make such decisions.
(40) "Diagnosis" means the principal mental
health, substance use, or problem gambling diagnosis listed in the Diagnostic
and Statistical Manual of Mental Disorders (DSM). The diagnosis is determined
through the assessment and any examinations, tests, or consultations suggested
by the assessment and is the medically appropriate reason for
services.
(41) "Division" means the
Health Systems Division of the Oregon Health Authority, or its
designee.
(42) "DSM" means the of
the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition
published by the American Psychiatric Association.
(43) "Driving Under the Influence of
Intoxicants (DUII) Substance Use Disorders Rehabilitation Program" means a
program of treatment and therapeutically oriented education services for an
individual who is either:
(a) A violator of
ORS
813.010
(Driving Under the Influence of Intoxicants); or
(b) A defendant participating in a diversion
agreement under ORS
813.200.
(44) "Employment Support Services" means
services approved by division, determined to be necessary and provided to an
individual to obtain and maintain employment in the community as they are
transitioning from an inpatient or residential facility that provides substance
use disorder treatment.
(45)
"Enhanced Care Services (ECS)" and "Enhanced Care Outreach Services (ECOS)"
means intensive behavioral and rehabilitative mental health services to
eligible individuals who reside in Aging and People with Disabilities (APD)
licensed homes or facilities.
(46)
"Entry" means the act or process of acceptance and enrollment into services
regulated by this rule.
(47) "Face
to Face" means a personal interaction where both words can be heard and facial
expressions can be seen in person or through telehealth services where there is
a live streaming audio and video, if clinically appropriate.
(48) "Family" means the biological or legal
parents, siblings, other relatives, foster parents, legal guardians, spouse,
domestic partner, caregivers, and other primary relations to the individual
whether by blood, adoption, or legal or social relationships. Family also means
any natural, formal, or informal support persons identified as important by the
individual.
(49) "Family Support"
means the provision of peer delivered services to people defined as family to
the individual. It includes support to caregivers at community meetings,
assistance to families in system navigation and managing multiple appointments,
supportive home visits, peer support, parent mentoring and coaching, advocacy,
and furthering efforts to develop natural and informal community
supports.
(50) "Gender Identity"
means an individual's self-identification of gender without regard to legal or
biological identification including but not limited to individuals identifying
themselves as male, female, transgender, gender transitioning and transitioned,
non-binary, intersex, and gender diverse.
(51) "Gender Expression" means the external
characteristics and behaviors that are socially defined as masculine, feminine,
or androgynous such as dress, mannerisms, speech patterns, and social
interactions.
(52) "Geographic
Service Area" means the geographic area within the county boundaries in which
the CMHP operates.
(53) "Grievance"
means a formal complaint submitted to a provider verbally or in writing by an
individual or the individual's representative pertaining to the denial or
delivery of services and supports.
(54) "Guardian" means an individual appointed
by a court of law to act as guardian of a minor or a legally incapacitated
individual. Guardian may also mean legal representative.
(55) "HIPAA" means the federal Health
Insurance Portability and Accountability Act of 1996 and the regulations
published in Title 45, parts 160 and 164, of the Code of Federal Regulations
(CFR).
(56) "Housing Support
Services" means services approved by division, provided to an individual to
obtain and reside in an independent community setting and are tailored to the
goal of maintaining an individual's personal health and welfare in a home and
community-based setting as they are transitioning from an inpatient or
residential facility that provides substance use disorder treatment.
(57) "Institutions of Mental Disease" or
"IMD" means a hospital, nursing facility, or other institution of more than 16
beds that is primarily engaged in providing diagnosis, treatment, or care of
persons with mental diseases, which includes substance use disorders
(SUDs).
(58) "Individual" means any
person being considered for or receiving services and supports regulated by
these rules.
(59) "Informed Consent
for Services" means that the service options, risks, and benefits have been
explained to the individual and guardian, if applicable, in a manner that they
comprehend, and the individual and guardian have consented to the services on
or prior to the first date of service.
(60) Institution means an establishment that
furnishes (in single or multiple facilities) food, shelter, and some treatment
or services to four or more persons unrelated to the proprietor.
(61) "Intensive In Home Behavioral Health
Treatment (IIBHT) for Children" means an intensive, community based level of
care for youth ages 0-20 years with complex mental health needs who are at risk
for an out of home placement or who are stepping down from a higher level of
care. IIBHT includes access to an array of services including individual and
family therapy, case management, psychiatric services, skills training, peer
delivered services, and proactive 24/7 crisis response. A Certificate of
Approval from the Oregon Health Authority is required to render IIBHT services
to eligible youth and families. For the purposes of IIBHT, "in home" means
services delivered in the home, school, or other community setting, as
specified by the individual and family.
(62) "Intensive Outpatient Substance Use
Disorders Treatment Services" means structured, nonresidential evaluation,
treatment, and continued care services for individuals with substance use
disorders who need a greater number of therapeutic contacts per week than are
provided by traditional outpatient services. Intensive outpatient services may
include but are not limited to day treatment, correctional day treatment,
evening treatment, and partial hospitalization.
(63) "Intensive Outpatient Services and
Supports (IOSS)" means a specialized set of comprehensive in-home and
community-based supports and mental health treatment services for children that
are developed by the child and family team and delivered in the most integrated
setting in the community.
(64)
"Interdisciplinary Team (IDT)" means a group of professional and direct care
staff that have primary responsibility for the development of a Service Plan
for an individual receiving services.
(65) "Interim Referral and Information
Services" means services provided by a substance use disorders treatment
provider to individuals on a waiting list and whose services are funded by the
Substance Abuse Prevention and Treatment (SAPT) block grant to reduce the
adverse health effects of substance use, promote the health of the individual,
and reduce the risk of disease transmission.
(66) "Intern" or "Student" means program
staff rendering paid or unpaid program services or supports to complete a
credentialed or accredited educational program recognized by the State of
Oregon.
(67) "Juvenile Psychiatric
Security Review Board (JPSRB)" means the entity described in ORS
161.385.
(68) "Legal Representative" means a person
who has been legally designated by court order to make financial or health care
decisions for another individual. The legal representative only has authority
to act within the scope and limits of his or her authority as designated by the
court or other agreement. Legal representatives acting outside of his or her
authority or scope shall meet the definition of authorized
representative.
(69) "Lethal Means
Counseling" means best practice research-based counseling strategies to help
patients at risk for suicide and their families reduce access to lethal means,
including but not limited to firearms.
(70) "Level of Care" means the range of
available services provided from the most integrated setting to the most
restrictive and most intensive in an inpatient setting.
(71) "Licensed Health Care Professional"
means a practitioner of the healing arts acting within the scope of their
practice under state law who is licensed by a recognized governing board in
Oregon.
(72) "Licensed Medical
Practitioner (LMP)" means program staff who meet the following minimum
qualifications:
(a) Physician licensed to
practice in the State of Oregon; or
(b) Nurse practitioner licensed to practice
in the State of Oregon; or
(c)
Physician's assistant licensed to practice in the State of Oregon;
and
(d) Whose training, experience,
and competence demonstrate the ability to conduct a mental health assessment
and provide medication management;
(e) For IOSS and ITS providers, LMP means a
Board-Certified or Child and Adolescent Psychiatrist licensed to practice in
the State of Oregon or a Psychiatric Nurse Practitioner under the consultation
of a board-certified or board-eligible child and adolescent psychiatrist
licensed to practice in the State of Oregon.
(73) "Linkage agreement" has the meaning
given that term in OAR 309-032-0860.
(74) "Local Mental Health Authority (LMHA)"
means one of the following entities:
(a) The
board of county commissioners of one or more counties that establishes or
operates a CMHP;
(b) The tribal
council in the case of a federally recognized tribe of Native Americans that
elects to enter into an agreement to provide mental health services;
or
(c) A regional local mental
health authority composed of two or more boards of county
commissioners.
(75)
"Mandatory Reporter" means any public or private official, as defined in ORS
419B.005 or
430.735,
who comes in contact with or has reasonable cause to believe that an individual
has suffered abuse or that any person with whom the official comes in contact
with has abused the individual. Pursuant to ORS
419B.010
or
430.765,
psychiatrists, psychologists, clergy, and attorneys are not mandatory reporters
with regard to information received through communications that are privileged
under ORS
40.225
to
40.295.
(76) "Medicaid" means the federal
grant-in-aid program to state governments to provide medical assistance to
eligible individuals under Title XIX of the Social Security Act.
(77) "Medical Director" means a physician
licensed to practice medicine in the State of Oregon and is designated by a
substance use disorders treatment program to be responsible for the program's
medical services, either as an employee or through a contract.
(78) "Medical Supervision" means an LMP's
review and approval, at least annually, of the medical appropriateness of
services and supports identified in the service plan for each individual
receiving mental health services for one or more continuous years.
(79) "Medically Appropriate" means services
and medical supplies required for prevention, diagnosis, or treatment of a
physical or behavioral health condition or injuries that are:
(a) Consistent with the symptoms of a health
condition or treatment of a health condition;
(b) Appropriate regarding standards of good
health practice and generally recognized by the relevant scientific community
and professional standards of care as effective;
(c) Not solely for the convenience of an
individual or a provider of the service or medical supplies; and
(d) The most cost effective of the
alternative levels of medical services or medical supplies that can be safely
provided to an individual.
(80) "Medication Assisted Treatment (MAT)"
means the use of medication in combination with counseling and behavioral
therapies for the treatment of substance use disorders.
(81) "Mental Health Intern" means program
staff who meet qualifications for QMHA and are currently enrolled in a graduate
program approved by the Division-approved certification or licensing body but
does not have the necessary graduate degree in psychology, social work, or
related field of behavioral science, or have an equivalent degree as determined
by the Division-approved certification or licensing body. The program staff
shall:
(a) Be enrolled in a graduate program
that will result in a degree in psychology, social work, or related field of
behavioral science, or an equivalent degree as evidenced by providing
transcripts indicating applicable coursework meeting the required competencies
and approved by the OHA-approved certification or licensing body.
(b) Have a collaborative educational
agreement between the Division-certified provider and the graduate program for
the student; and
(c) Work under the
direct supervision of a qualified supervisor employed by the provider of
services, within the scope of practice and competencies identified by the
collaborative educational agreement, and within the policies and procedures for
the credentialing of program staff as established by the
provider.
(82) "Mobile
Crisis Services" means mental health services for individuals in crisis
provided by mental health practitioners who respond to behavioral health crises
onsite at the location in the community where the crisis arises and who provide
a face-to-face therapeutic response. The goal of mobile crisis services is to
help an individual resolve a psychiatric crisis in the most integrated setting
possible and to avoid unnecessary hospitalization, inpatient psychiatric
treatment, involuntary commitment, and arrest or incarceration.
(83) "Mobile Crisis Response Time" means the
time from the point when a professional decision is made that a face-to-face
intervention is required to the time the actual face-to-face intervention takes
place in the community.
(84) "Non
IMD" means a hospital, nursing facility, or other institution with less than 16
beds that is primarily engaged in providing diagnosis, treatment, or care of
persons with mental diseases, which includes substance use disorders
(SUDs).
(85) "Non-Medicaid Service
Data" means data collected through the mandated state data system regarding
services paid for by any source other than Medicaid and includes, but is not
limited to:
(a) Diagnosis;
(b) Date of service;
(c) Place of service;
(d) Procedure code;
(e) Modifier;
(f) Number of service units; and
(g) Billed charges.
(86) "Nursing Services" means services that
are provided by a registered nurse (RN) or a licensed practical nurse (LPN)
within the scope of practice as defined in OAR chapter 851 division
045.
(87) "Outpatient Substance Use
Disorders Treatment Program" means a program that provides assessment,
treatment, and rehabilitation on a regularly scheduled basis or in response to
crisis for individuals with substance use disorders and their family members or
significant others.
(88)
"Outpatient Community Mental Health Services and Supports" means all outpatient
mental health services and supports provided to children, youth, and
adults.
(89) "Outpatient Problem
Gambling Treatment Services" means all outpatient treatment services and
supports provided to individuals with gambling related problems and their
families.
(90) "Outreach" means the
delivery of behavioral health services, referral services, and case management
services in non-traditional settings including but not limited to the
individual's residence, shelters, streets, jails, transitional housing sites,
drop-in centers, single room occupancy hotels, child welfare settings,
educational settings, or medical settings. It also means attempts made to
engage or re-engage an individual in services by such means as letters or
telephone calls.
(91)
"PreEngagement Services" means services delivered prior to completion of an
assessment, service plan, and/or commencement of formal treatment in order to
engage high risk/high need individuals in ongoing treatment services and to
avoid crisis events and higher levels of care.
(92) "Peer" means program staff supporting an
individual or the individual's family member who has similar life experience,
either as a current or former recipient of mental health or substance use
services, or as a family member of an individual who is a current or former
recipient of substance use or mental health services.
(93) "Peer-Delivered Services" are
community-based services and supports provided by peers and peer support
specialists to individuals or family members with similar lived experience.
These services are intended to support individuals and families to engage
individuals in ongoing treatment and to live successfully in the
community.
(94) "Peer Support
Specialist" means program staff providing peer delivered services to an
individual or family member with similar life experience under the supervision
of a qualified clinical supervisor and a qualified peer delivered services
supervisor as resources are made available. A peer support specialist shall be
certified by the Authority's Office of Equity and Inclusion as required by OAR
410-180-0300 to 0380. and:
(95)
"Peer Support and Peer Wellness Specialist Supervision" means supervision by a
qualified clinical supervisor and a qualified peer delivered services
supervisor as resources are available. The supports provided include guidance
in the unique discipline of peer delivered services and the roles of peer
support specialists and peer wellness specialists.
(96) "Peer Delivered Services Supervisor"
means qualified program staff, with at least one year of experience as a PSS or
PWS in behavioral health treatment services, to evaluate and guide PSS and PWS
program staff in the delivery of peer delivered services and
supports.
(97) "Peer Wellness
Specialist" means program staff who supports an individual in identifying
behavioral health service and support needs through community outreach,
assisting individuals with access to available services and resources,
addressing barriers to services, and providing education and information about
available resources and behavioral health issues in order to reduce stigma and
discrimination toward consumers of behavioral health services and to provide
direct services to assist individuals in creating and maintaining recovery,
health, and wellness. A peer wellness specialist shall meet the requirements
within ORS
414.025:
"Problem Gambling Approved Certification Consultant" means program staff who is a Certified Gambling Addiction Counselor, level II (CGACII) for a minimum of two years and has a minimum of ten hours of clinical supervision education. The purpose of the position is to provide consultation for CGAC candidates on 1) Fundamentals of Problem Gambling Treatment case conceptualization 2) the process and requirements of earning certification as a CGAC. This is a Mental Health and Addiction Certification Board of Oregon (MHACBO) distinction.
(99)
"Problem Gambling Treatment Staff" means program staff certified by a Division
recognized credentialing body to provide problem gambling treatment
services.
(100) "Program" means a
particular type or level of service that is organizationally
distinct.
(101) "Program
Administrator" or "Program Director" means program staff with appropriate
professional qualifications and experience who is designated to manage the
operation of a program.
(102)
"Program Staff" means a person who by contract with the program provide a
service and has the applicable competencies, qualifications, or certification
required to provide the service.
(103) "Provider" means an individual,
organizational provider, or Community Mental Health Program as designated under
ORS
430.637(1)(b)
that holds a current certificate to provide outpatient behavioral health
treatment or prevention services pursuant to these and other applicable service
delivery rules.
(104) "Psychiatric
Security Review Board (PSRB)" means the entity described in ORS
161.295
through
161.400.
(105) "Psychiatrist" means a physician
licensed pursuant to ORS
677.010 to
677.228
and
677.410
to
677.450
by the Oregon Medical Board and who has completed an approved residency
training program in psychiatry.
(106) "Psychologist" means a psychologist
licensed by the Oregon Board of Psychology.
(107) "Publicly Funded" means financial
support, in part or in full, with revenue generated by a local, state, or
federal government.
(108)
"Qualified Mental Health Associate (QMHA)" means program staff delivering
services under the direct supervision of a QMHP who meets the minimum
qualifications as authorized by the LMHA or designee and specified in OAR
309-019-0125.
(109) "Qualified
Mental Health Professional (QMHP)" means program staff LMP or any other program
staff meeting the minimum qualifications as authorized by the LMHA or designee
and specified in OAR 309-019-0125.
(110) "Qualified Person" means program staff
who is a QMHP or a QMHA and is identified by the PSRB and JPSRB in its
Conditional Release Order. This individual is designated by the provider to
deliver or arrange and monitor the provision of the reports and services
required by the Conditional Release Order.
(111) "Quality Assessment and Performance
Improvement" means the structured, internal monitoring and evaluation of
services to improve processes, service delivery, and service
outcomes.
(112) "Recovery" means a
process of healing and transformation for an individual to achieve full human
potential and personhood in leading a meaningful life in communities of their
choice.
(113) "Representative"
means a person who acts on behalf of an individual at the individual's request
with respect to a grievance including but not limited to a relative, friend,
Division employee, attorney, or legal guardian.
(114) "Resilience" means the universal
capacity that an individual uses to prevent, minimize, or overcome the effects
of adversity. Resilience reflects an individual's strengths as protective
factors and assets for positive development.
(115) "Respite Care" means planned and
emergency supports designed to provide temporary relief from care giving to
maintain a stable and safe living environment. Respite care may be provided in
or out of the home. Respite care includes supervision and behavior support
consistent with the strategies specified in the service plan.
(116) "Safety Plan" means a best practice
research-based individual directed document developed through a collaborative
process in which the provider assists the individual in listing strategies to
use when suicide ideation is elevated or after a suicide attempt.
(117) "Screening" means the process to
determine whether the individual needs further assessment to identify
circumstances requiring referrals or additional services and
supports.
(118) "Screening
Specialist" means a person who possesses valid certification issued by the
Division to conduct DUII evaluations.
(119) "Service Plan" means a comprehensive
plan for services and supports provided to or coordinated for an individual and
their family, as applicable, that is reflective of the assessment and the
intended outcomes of service.
(120)
"Service Note" means the written record of services and supports provided,
including documentation of progress toward intended outcomes consistent with
the timelines stated in the service plan.
(121) "Service Record" means the written or
electronic documentation regarding an individual and resulting from entry into
services, assessment, orientation, services and supports planning, services and
supports provided, and transfer.
(122) "Services" means activities and
treatments described in the service plan and rendered, that are intended to
assist the individual's transition to recovery from a substance use disorder,
problem gambling disorder, or mental health condition and to promote resiliency
and rehabilitative and functional individual and family outcomes.
(123) "Signature" means any written or
electronic means of entering the name, date of authentication, and credentials
of the program staff providing a specific service or the individual authorizing
services and supports. Signature also means any written or electronic means of
entering the name and date of authentication of the individual, guardian, or
any authorized representative of the individual receiving services.
(124) "Skills Training" or "Skills
Restoration" means providing information and training to individuals and
families designed to assist with the development of skills in areas including
but not limited to anger management, stress reduction, conflict resolution,
self-esteem, parent-child interactions, personal relationships, drug and
alcohol awareness, behavior support, symptom management, accessing community
services, and daily living.
(125)
"Status Data" means data collected through the mandated state data system and
includes, but is not limited to:
(a) Initial
admission, diagnostic, and demographics data;
(b) Updates and changes as needed through the
individual's enrollment in services; and
(c) Discharge or other discontinuation of
services.
(126) "Student
Intern" means program staff rendering behavioral health services in a
Division-certified program, who does not meet the qualifications for QMHA. The
program staff shall:
(a) Be currently enrolled
in an undergraduate education program for a degree in psychology, social work,
or other related field of behavioral science;
(b) Have a collaborative educational
agreement between the Division-certified provider and the educational program
for the student; and
(c) Render
services and supports under the direct supervision of a qualified supervisor
employed by the provider of services, within the scope of practice and
competencies identified by the collaborative educational agreement, and within
the policies and procedures for the credentialing of program staff as
established by the provider.
(127) "Substance Abuse Prevention and
Treatment Block Grant" or "SAPT Block Grant" means the federal block grants for
prevention and treatment of substance abuse under
Public
Law 102-321 (31 U.S.C. 7301-7305) and the
regulations published in Title 45 Part 96 of the Code of Federal
Regulations.
(128) "Substance Use
Disorders" means disorders related to the taking of a drug of abuse including
alcohol to the side effects of a medication and to a toxin exposure. The
disorders include substance use disorders such as substance dependence and
substance abuse and substance-induced disorders, including substance
intoxication, withdrawal, delirium, and dementia, and includes but is not
limited to substance induced psychotic disorder, mood disorder, as defined in
DSM criteria.
(129) "Substance Use
Disorders Treatment and Recovery Services" means outpatient, intensive
outpatient, and residential services and supports for individuals with
substance use disorders.
"Substance Use Disorders Treatment Staff" means program staff certified by a Division-approved certification body to render substance use disorders treatment services.
(131) "Successful DUII Completion" means that
the DUII program has documented in its records that for the period of service
deemed necessary by the program, the individual has:
(a) Met the completion criteria approved by
the Division;
(b) Met the terms of
the fee agreement between the provider and the individual; and
(c) Demonstrated 90 days of continuous
abstinence prior to completion.
(132) "Supports" means activities, referrals,
and supportive relationships designed to enhance the services delivered to
individuals and families for the purpose of facilitating progress toward
intended outcomes.
(133) "Transfer"
means the process of assisting an individual to transition from the current
services to the next appropriate setting or level of care.
(134) "Transitioning" means a 90-day period
which begins when an individual is discharged from an inpatient or residential
stay back to a community setting.
(135) "Trauma Informed Services" means
services that are reflective of the consideration and evaluation of the role
that trauma plays in the lives of people seeking mental health, substance use,
or problem gambling services, including recognition of the traumatic effect of
misdiagnosis and coercive treatment. Services are responsive to the
vulnerabilities of trauma survivors and are delivered in a way that avoids
inadvertent re-traumatization and facilitates individual direction of
services.
(136) "Treatment" means
the planned, individualized program of medical, psychological, and
rehabilitative procedures, experiences, and activities designed to remediate
symptoms of a DSM diagnosis that are included in the service plan.
(137) "Triage" means a classification process
to determine priority needs.
(138)
"Urinalysis Test" means an initial test and, if positive, a confirmatory test:
(a) An initial test shall include, at a
minimum, a sensitive, rapid, and inexpensive immunoassay screen to eliminate
"true negative" specimens from further consideration;
(b) A confirmatory test is a second
analytical procedure used to identify the presence of a specific drug or
metabolite in a urine specimen. The confirmatory test shall be by a different
analytical method from that of the initial test to ensure reliability and
accuracy;
(c) All urinalysis tests
shall be performed by laboratories meeting the requirements of OAR 333-024-0305
through 0365.
(139)
"Urgent" means the onset of symptoms requiring attention within 24 hours to
prevent a serious deterioration in an individual's mental or physical health or
threat to safety.
(140) "Variance"
means an exception from a provision of these rules granted in writing by the
Division pursuant to the process regulated by OAR 309-008-1600 upon written
application from the provider. Duration of a variance is determined on a
case-by-case basis.
(141)
"Volunteer" means program staff who provide a program service or take part in a
program service and are not program employees and are not paid for services.
The services shall be non-clinical unless the program staff has the required
credentials to provide a clinical service.
(142) "Warm Handoff" has the meaning given
that term in OAR 309-032-0860.
(143) "Wellness" means an approach to
healthcare that emphasizes good physical and mental health, preventing illness,
and prolonging life.
(144)
"Wraparound" means a high fidelity model of team-based intensive care
coordination for children and their families based on National Wraparound
Initiative values and principles.
(145) "Young Adult in Transition" means an
individual who is developmentally transitioning into independence, sometime
between the ages of 14 and 25.
Notes
Statutory/Other Authority: ORS 161.390, 413.042, 430.256 & 430.640
Statutes/Other Implemented: ORS 161.390 - 161.400, 428.205 - 270, 430.010, 430.205- 430.210, 430.254 - 430.640, 430.850 - 430.955 & 743A.168
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.