Outpatient problem gambling treatment services include group,
individual, and family treatment consistent with the following
(1) Service sessions
shall address the challenges of the individual as they relate directly or
indirectly to the problem gambling behavior.
Providers may provide telephone
counseling when face-to-face contact involves an unwise delay, as follows:
(a) The individual shall be currently
enrolled in the problem gambling treatment program;
(b) Phone counseling shall be provided by a
qualified program staff within their scope of practice;
(c) Service notes for phone counseling shall
follow the same criteria as face-to-face counseling and identify the session
was conducted by phone and the clinical rationale for the phone
(d) Telephone counseling
shall meet HIPAA and 42 CFR standards for privacy; and
(e) There shall be an agreement of informed
consent for phone counseling that is discussed with the individual and
documented in the individual's service record.
Family counseling includes face-to-face
or non-face-to-face service sessions between a program staff member delivering
the service and a family member whose life has been negatively impacted by
(a) Service sessions shall address
the problems of the family member as they relate directly or indirectly to the
problem gambling behavior; and
Services to the family shall be offered even if the individual identified as a
problem gambler is unwilling or unavailable to accept services.
(4) Twenty-four hour crisis
response shall be accomplished through agreement with other crisis services,
on-call program staff, or other arrangement acceptable to the
(5) A financial
assessment shall be included in the entry process and documented in the
(6) The service plan
shall include a financial component consistent with the financial
(7) A risk assessment
for suicide ideation shall be included in the entry process and documented in
the assessment as well as appropriate referrals made.
(8) The service plan shall address suicidal
risks if determined within the assessment process or throughout
(9) For individuals at
risk, the service notes shall contain documented evidence that suicidal risk is
continually assessed and that follow-up safety plan activities are being
Or. Admin. R.
MHS 6-2013(Temp), f.
8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 4-2014, f. & cert. ef. 2-3-14;
3-2015, f. & cert. ef.
5/28/2015; MHS 26-2016(Temp), f. 12-27-16,
cert. ef. 12-28-16 thru 6-23-17;
6-2017, f. & cert. ef.
6/23/2017; MHS 10-2017(Temp), f. 9-15-17, cert. ef.
9-15-17 thru 3-13-18;
4-2018, amend filed 02/27/2018, effective
Statutory/Other Authority: ORS
430.640 & 461.549
Statutes/Other Implemented: ORS
161.390 - 161.400, 179.505,
413.520 - 413.522, 426.380- 426.395, 426.490 - 426.500, 428.205 - 428.270,
430.010, 430.205 - 430.210, 430.254 - 430.640, 430.850 - 430.955 & 443.400