Or. Admin. Code § 309-021-0160 - IIBHT Entry, Assessment and Engagement

(1) The IIBHT Entry, Assessment and Engagement process must occur in accordance with OAR 309-019-0135.

(2) IIBHT providers shall create and utilize a written entry procedure to ensure youth/young adults and their families are offered an intake in the timeliest manner feasible, consistent with the youth/young adult and family's presenting circumstances once approved.

(3) IIBHT providers shall provide a written description of the IIBHT program which includes at a minimum the available services and supports offered and the treatment review meeting expectations and timelines.

(4) IIBHT assessments shall be completed or updated in collaboration with the youth/young adult and their family at the time of entry, prior to development of the service plan

(5) A Crisis and Safety Plan shall be developed and approved by the youth/young adult and their family in consultation with the IIBHT team and shall, at a minimum include the provision and documentation of the following:

(a) The youth/young adult and family's definition of crisis;

(b) At least one strategy to prevent a crisis situation and at least one strategy to use during a crisis situation;

(c) A list of antecedents, warning signs, and recommended de-escalation strategies and supports identified by the youth/young person and their family in consultation with the IIBHT team;

(d) Strategies for risk prevention for existing or anticipated safety concerns. This shall include strategies developed through lethal means counseling to help individuals at risk for suicide and their families to reduce access to lethal means, including but not limited to firearms and medications;

(e) Strength-based strategies for addressing the youth/young adult and their family's needs when in crisis;

(f) Natural and formal supports approved by the youth/young adults and their family for crisis response;

(g) Be updated at the request of the youth/young adult or family, or when clinical circumstances change, including following any placement change, psychiatric crisis, overdose, suicide attempt, police involvement, or other situations identified by the youth/young adult or family;

(h) Safety requirements from other child-serving or legal systems;

(i) Be culturally and linguistically responsive;

(j) Contact information for resources that the youth/young adult and their family may use before or during a crisis event, including IIBHT 24/7/365 crisis supports;

(k) Be provided to the youth/young adult and their family in a format and languages chosen by the youth/young adult and their family no more than 10 days from start of services;

(l) The IIBHT team members working with the family must have access to the most up to date version of the Crisis and Safety Plan.

(6) The IIBHT provider shall administer an OHA approved outcome measures tool for each youth/young adult:

(a) Within 30 calendar days of entry to IIBHT services;

(b) Within 30 calendar days prior to discharge from IIBHT services; and

(c) Results from the Authority approved outcome measurement tool shall be entered into the Authority-approved data system within 30 days of entry.

(8) A referral to Fidelity Wraparound shall be offered to eligible youth/young adults enrolled in IIBHT services at the time of entry and throughout enrollment in services as applicable.

(9) A Service Plan shall be completed in accordance with OAR 309-019-0140, in collaboration with the youth/young adult and their family and additionally:

(a) A LMP shall approve the Service Plan at least annually for everyone receiving mental health services for one or more continuous years. The LMP may designate annual clinical oversight by documenting the designation to a specific licensed health care professional, per service record.

(b) The IIBHT Service Plan at a minimum shall include treatment objectives that are agreed to by the youth/young adult or family through signed, informed consent; and

(c) Documentation that a minimum of two hours a week, of specific type of IIBHT services have been recommended and documented within the Service Plan, as agreed by the child and family.

(d) Locations and time preferences for service delivery, convenient to the youth/young adult and their family. Telehealth may be utilized when requested by the youth/young adult and their family but shall not be the primary mode of service delivery.

(e) Projected timeline of IIBHT services and supports for a successful transfer from IIBHT to a lower level of care

(f) Name and contact information for all external service providers outside of IIBHT that the family chooses to maintain while enrolled in IIBHT. Provider must document all care coordination efforts in the youth/young adults service record.

(g) A copy of the Service Plan must be provided to the youth/young adult and their family in the most developmentally and culturally appropriate language.

Notes

Or. Admin. Code § 309-021-0160

BHS 3-2025, adopt filed 02/27/2025, effective 3/1/2025

Statutory/Other Authority: ORS 413.042, 430.640 & 430.705

Statutes/Other Implemented: ORS 430.010, 430.205 & 430.708