Or. Admin. R. 416-345-0040 - Exceptions

(1) Notwithstanding OAR 416-345-0030, there may be circumstances in which the level of care and treatment is unclear, or it may be inappropriate to apply any level of care and treatment to an individual patient. Any individual case, or proposed care or treatment, may be submitted to the OYA medical director to review for medical appropriateness or second opinion.
(2) The OYA medical director may consider the following factors to determine proposed medical care or treatment appropriateness, including but not limited to:
(a) The urgency of the care and treatment and the anticipated length of the youth in custody's remaining commitment to close custody and whether the care and treatment could or could not be reasonably delayed without causing a significant progression, complication, or deterioration of the condition;
(b) The overall necessity of the care and treatment in regards to morbidity, mortality, and functional disability;
(c) Pre-existing condition(s) prior to incarceration, and the reasons for not obtaining treatment prior to incarceration;
(d) The probability the care and treatment will have a successful outcome, along with relevant risks;
(e) Any other known costs, risks, or benefits associated with the care and treatment;
(f) Alternative therapies;
(g) The youth in custody's desire for the care and treatment and the likelihood of the youth in custody's cooperation with the care and treatment; and
(h) Pain complaints, or pain behavior.
(3) The OYA medical director may choose to convene a clinical review committee to help determine proposed care or treatment appropriateness.

Notes

Or. Admin. R. 416-345-0040
OYA 7-2018, adopt filed 06/05/2018, effective 6/5/2018; OYA 2-2023, amend filed 01/10/2023, effective 1/10/2023

Statutory/Other Authority: ORS 420A.025

Statutes/Other Implemented: ORS 420A.010, ORS 420A.014 & ORS 420A.015

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