Or. Admin. Code § 309-022-0105 - Definitions
(1) "Abuse of a
Child" means the circumstances defined in ORS
419B.005.
(2) "Adolescent" means an individual from 12
through 17 years of age, or individuals determined to be developmentally
appropriate for youth services.
(3)
"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 individual.
(4) "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.
(5) "Authority" means the Oregon Health
Authority.
(6) "Behavioral Health"
means mental health, mental illness, addictive health, and addiction
disorders.
(7) "Behavior Support
Plan" means the individualized proactive support strategies that are used to
support positive behavior.
(8)
"Behavior Support Strategies" mean proactive supports designed to replace
challenging behavior with functional, positive behavior. The strategies address
environmental, social, neuro-developmental, and physical factors that affect
behavior.
(9) "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.
(10)
"Certificate" means the document issued by the Division that identify and
declare certification of a provider pursuant to OAR
309-008-0100 to
309-008-1600. A letter
accompanying issuance of the certificate details the scope and approved service
delivery locations of the certificate.
(11) "Chemical Restraint" means the
administration of medication for the acute management of potentially harmful
behavior.
(12) "Chief Officer or
Director" means the Chief Health Systems Officer of the Authority or
designee.
(13) "Child" means an
individual under the age of 18. An individual with Medicaid eligibility in need
of services specific to children, adolescents, or young adults in transition
shall be considered a child until age 21.
(14) "Children's Emergency Safety
Intervention Specialist (CESIS)" means a Qualified Mental Health Professional
(QMHP) licensed to order, monitor, and evaluate the use of seclusion and
restraint in accredited and certified facilities providing intensive mental
health treatment services to individuals less than 21 years of age.
(15) "Clinical Supervision" means oversight
by a qualified clinical supervisor of addictions and mental health services and
supports, including ongoing evaluation and improvement of the effectiveness of
those services and supports.
(16)
"Clinical Supervisor" means an individual qualified to oversee and evaluate
addictions or mental health services and supports.
(17) "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
309-014-0000.
(18) "Co-occurring Substance Use and Mental
Health Disorders (COD)" means the existence of both a substance use disorder
and a mental health disorder.
(19)
"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 CCO's members.
(20)
"Criminal Records Check" means the Oregon Criminal Records Check and the
processes and procedures required by OAR
943-007-0001 through
943-007-0501.
(21) "Crisis" means 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.
(22) "Cultural Competence"
means the process by which people and systems respond respectfully and
effectively to individuals of all cultures, languages, classes, races, ethnic
backgrounds, disabilities, religions, genders, sexual orientations, and other
diversity factors in a manner that recognizes, affirms, and values the worth of
individuals, families, and communities and protects and preserves the dignity
of each.
(23) "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 can understand and legally make decisions related to the
treatment. It is honored, as clinically appropriate, in the event the
individual becomes unable to make treatment decisions.
(24) "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.
(25) "Division" means the
Health Systems Division.
(26) "DSM"
means the most recent version of the Diagnostic and Statistical Manual of
Mental Disorders published by the American Psychiatric Association.
(27) "Emergency Safety Intervention" means
the use of seclusion or personal restraint as an immediate response to an
unanticipated threat of violence or injury to an individual or
others.
(28) "Emergency Safety
Intervention Training" means a Division-approved course that includes an
identified instructor, a specific number of face-to-face instruction hours, a
component to assess competency of the course materials, and an established
curriculum including the following:
(a)
Prevention of emergency safety situations using positive behavior support
strategies identified in the individual's behavior support plan;
(b) Strategies to safely manage emergency
safety situations; and
(c)
De-escalation and debriefing.
(29) "Emergency Safety Situation" means an
unanticipated behavior that places the individual or others at serious threat
of violence or injury if no intervention occurs and that calls for an emergency
safety intervention.
(30)
"Emergent" means the onset of symptoms requiring attention within 24 hours to
prevent serious deterioration in mental or physical health or threat to
safety.
(31) "Entry" means the act
or process of acceptance and enrollment into services regulated by this
rule.
(32) "Face to Face" means a
personal interaction where all participants can see, hear, or otherwise
perceive accordingly to their ability, the words and facial expressions of each
other in person or through telehealth services where there is a live streaming
audio and video, if clinically appropriate.
(33) "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.
(34) "Family Support"
means the provision of peer delivered services to individuals 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.
(35) "Family Support
Specialist" means an individual who meets qualification criteria under OAR
chapter 410 division 180 and provides peer delivered services to a family
member who has experience parenting a child who is a current or former consumer
of mental health or addiction treatment or is facing or has faced difficulties
in accessing education, health, and wellness services due to a mental health or
behavioral health barrier.
(36)
"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, and
transsexual.
(37) "Gender
Presentation" means the external characteristics and behaviors that are
socially defined as either masculine or feminine, such as dress, mannerisms,
speech patterns, and social interactions.
(38) "Grievance" means a formal complaint
submitted to a provider verbally or in writing by an individual or the
individual's chosen representative pertaining to the denial or delivery of
services and supports.
(39)
"Guardian" means an individual appointed by a court of law to act as guardian
of a minor or a legally incapacitated individual.
(40) "Health Systems Services and Supports"
means all services and supports including but not limited to Outpatient
Community Mental 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.
(41)
"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).
(42) "Individual" means any person being
considered for or receiving services and supports regulated by these
rules.
(43) "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.
(44) "Integrated Psychiatric Residential
Treatment Facility and Residential Substance Use Disorders Treatment Program"
or "IPSR" or "Integrated Program" means a residential program that is licensed
to provide both residential substance use disorders treatment and psychiatric
residential treatment services to children and adolescents in the same
facility.
(45) "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.
(46) "Intensive Treatment Services (ITS)"
means the range of services in the system of care comprised of Psychiatric
Residential Treatment Facilities (PRTF) and Psychiatric Day Treatment Services
(PDTS), or other services as determined by the Division that provide active
psychiatric treatment for children with severe emotional disorders and their
families.
(47) "Interdisciplinary
Team" means the group of people designated to advise in the planning and
provision of services and supports to individuals receiving ITS services and
may include multiple disciplines or agencies. For Psychiatric Residential
Treatment Facilities (PRTF), the composition of the interdisciplinary team
shall be consistent with the requirements of 42 CFR Part 441.156.
(48) "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.
(49) "Intern" or "Student" means an
individual who provides a paid or unpaid program service to complete a
credentialed or accredited educational program recognized by the State of
Oregon.
(50) "Juvenile Psychiatric
Security Review Board (JPSRB)" means the entity described in ORS
161.385.
(51) "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.
(52) "License" means a document or documents
issued by the Division that identify and declare the provider to be licensed
pursuant to OAR chapter 415 division 012 and applicable provider
rules.
(53) "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.
(54) "Licensed
Medical Practitioner (LMP)" means an individual who meets the following minimum
qualifications as documented by the Local Mental Health Authority (LMHA) or
designee:
(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 board-eligible child
and adolescent psychiatrist licensed to practice in the State of
Oregon.
(55) "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
comprised of two or more boards of county commissioners.
(56) "Mandatory Reporter" means any public or
private official, as defined in ORS
419B.005(3),
who comes in contact with or has reasonable cause to believe that an individual
has suffered abuse or that any individual with whom the official comes in
contact with has abused the individual. Pursuant to ORS
430.765(2),
psychiatrists, psychologists, clergy, and attorneys are not mandatory reporters
for information received through communications that are privileged under ORS
40.225 to
40.295.
(57) "Mechanical Restraint" means any device
attached or adjacent to the resident's body he or she cannot easily remove and
that restricts freedom of movement or normal access to their body. Mechanical
restraint is prohibited in the services regulated by these rules.
(58) "Medicaid" means the federal
grant-in-aid program to state governments to provide medical assistance to
eligible persons under Title XIX of the Social Security Act.
(59) "Medical Director" means a physician
licensed to practice medicine in the State of Oregon and who 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.
(60) "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.
(61) "Medically Appropriate" means services
and medical supplies required for prevention, diagnosis, or treatment of a
physical or behavioral health condition or injuries and 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.
(62) "Mental Health Intern" means an
individual who meets qualifications for QMHA but does not have the necessary
graduate degree in psychology, social work, or a behavioral science field to
meet the educational requirement of QMHP. The individual shall:
(a) Be currently enrolled in a graduate
program for a master's degree in psychology, social work, or in a behavioral
science field;
(b) Have a
collaborative educational agreement with the CMHP or other provider and the
graduate program;
(c) Work within
the scope of their practice and competencies identified by the policies and
procedures for credentialing of clinical staff as established by the provider;
and
(d) Receive, at minimum, weekly
supervision by a qualified clinical supervisor employed by the provider of
services.
(63)
"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 refers to attempts
made to engage or re-engage an individual in services by means such as letters
or telephone calls.
(64) "Peer"
means any individual supporting an individual or a family member who has
similar life experience, either as a current or former recipient of substance
use or mental health services, or as a family member of an individual who is a
current or former recipient of substance use or mental health
services.
(65) "Peer Delivered
Services" means community-based services and supports provided by peers and
peer support specialists to individuals or family members with similar lived
experience. These services are designed to support individuals and families and
to engage individuals in ongoing treatment to live successfully in the
community.
(66) "Peer Support
Specialist" means a qualified individual 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. 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 be:
(a) A self-identified individual currently or
formerly receiving substance use or mental health services;
(b) A self-identified individual in recovery
from a substance use disorder who meets the abstinence requirements for
recovering staff in substance use disorders treatment and recovery
programs;
(c) A self-identified
individual in recovery from problem gambling; or
(d) An individual with experience parenting a
child who:
(A) Is a current or former consumer
of mental health or substance use treatment; or
(B) Is facing or has faced difficulties in
accessing education and health and wellness services due to a mental health or
behavioral health barrier.
(67) "Personal Restraint" means the
application of physical force without the use of any device for the purpose of
restraining the free movement of an individual's body to protect the individual
or others from immediate harm. Personal restraint does not include briefly
holding without undue force an individual to calm or comfort him or her or
holding an individual's hand to safely escort him or her from one area to
another. Personal restraint may be used only in approved ITS or Integrated/IPSR
programs as an emergency safety intervention under OAR
309-022-0175.
(68) "Problem Gambling Treatment Staff" means
an individual certified or licensed by a health or allied provider agency to
provide problem gambling treatment services that include assessment,
development of a service plan, and group and family counseling.
(69) "Program" means a particular type or
level of service that is organizationally distinct.
(70) "Program Administrator" or "Program
Director" means an individual with appropriate professional qualifications and
experience who is designated to manage the operation of a program.
(71) "Program Staff" means an employee or
individual who by contract with the program provides a service and has the
applicable competencies, qualifications, or certification required in these
rules to provide the service.
(72)
"Prone restraint" means a restraint in which a child in care is held face down
on the floor.
(73) "Provider" means
an individual or organizational provider as defined in ORS
430.637(1)(b),
tribal organization, or CMHP that holds a current certificate listed in OAR
309-008-0100 or license under
OAR 415-012-0000 to provide
behavioral health treatment services pursuant to these and applicable service
delivery rules.
(74) "Psychiatric
Day Treatment Services (PDTS)" means the comprehensive, interdisciplinary,
non-residential, community-based program certified under these rules consisting
of psychiatric treatment, family treatment, and therapeutic activities
integrated with an accredited education program.
(75) "Psychiatric Residential Treatment
Facility (PRTF)" means facilities that are structured residential treatment
environments with daily 24-hour supervision and active psychiatric treatment
including Psychiatric Residential Treatment Services (PRTS), Secure Children's
Inpatient Treatment Programs (SCIP), Secure Adolescent Inpatient Treatment
Programs (SAIP), and Sub-acute Psychiatric Treatment for children who require
active treatment for a diagnosed mental health condition in a 24-hour
residential setting.
(76)
"Psychiatric Residential Treatment Services (PRTS)" means services delivered in
a PRTF that include 24-hour supervision for children who have serious
psychiatric, emotional, or acute mental health conditions that require
intensive therapeutic counseling and activity and intensive staff supervision,
support, and assistance.
(77)
"Psychiatrist" means a physician licensed pursuant to ORS
677.010 to
677.228 and ORS
677.410 to
677.450 by the Board of Medical
Examiners for the State of Oregon and who has completed an approved residency
training program in psychiatry.
(78) "Psychologist" means a psychologist
licensed by the Oregon Board of Psychologist Examiners.
(79) "Publicly Funded" means financial
support, in part or in full, with revenue generated by a local, state, or
federal government.
(80) "Qualified
Mental Health Associate (QMHA)" means an individual delivering services under
the direct supervision of a QMHP who meets the minimum qualifications as
authorized by the LMHA or designee.
(81) "Qualified Mental Health Professional
(QMHP)" means a LMP or any other individual meeting the minimum qualifications
as authorized by the LMHA or designee.
(82) "Quality Assessment and Performance
Improvement" means the structured, internal monitoring and evaluation of
services to improve processes, service delivery, and service
outcomes.
(83) "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.
(84) "Reportable Incident"
means a serious incident involving an individual in an ITS program that shall
be reported in writing to the Division within 24 hours of the incident,
including but not limited to serious injury or illness, act of physical
aggression that results in injury, suspected abuse or neglect, involvement of
law enforcement or emergency services, or any other serious incident that
presents a risk to health and safety.
(85) "Representative" means an individual 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.
(86)
"Residential Problem Gambling Treatment Program" means a publicly or
privately-operated program licensed in accordance with OAR 415-012-0100 through
415-012-0225 that provides assessment, treatment, rehabilitation, and
twenty-four-hour observation and monitoring for individuals with gambling
related problems.
(87) "Residential
Substance Use Disorders Treatment Program" has the meaning given that term in
OAR 309-018-0105.
(88) "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.
(89) "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.
(90) "Screening" means the process to
determine whether the individual needs further assessment to identify
circumstances requiring referrals or additional services and
supports.
(91) "Seclusion" means
the involuntary confinement of a resident alone in a room or an area from which
the resident is physically prevented from leaving. Seclusion may be used only
in approved ITS programs as an emergency safety intervention.
(92) "Secure Children's Inpatient Programs
(SCIP) and Secure Adolescent Inpatient Programs (SAIP)" means ITS programs that
are designed to provide inpatient psychiatric stabilization and treatment
services to children up to age 14 for SCIP services and individuals under the
age of 21 for SAIP services who require a secure intensive treatment
setting.
(93) "Secure
Transportation Services" means a child-caring agency licensed by the Oregon
Department of Human Services (ODHS) that provides secure transportation or
secure escort services for children on defined by ORS
418.205.
(94) "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.
(95) "Service Plan" means a
comprehensive plan for services and supports provided to or coordinated for an
individual and their family that is reflective of the assessment and the
intended outcomes of service.
(96)
"Service Record" means the documentation, written or electronic, regarding an
individual and resulting from entry, assessment, orientation, services and
supports planning, services and supports provided, and transfer.
(97) "Services" means the activities and
treatments described in the service plan 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.
(98) "Signature" means any written or
electronic means of entering the name, date of authentication, and credentials
of the individual 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 receiving
services, the guardian of the individual receiving services, or any authorized
representative of the individual receiving services.
(99) "Skills Training" 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, peer relations, drug and alcohol awareness, behavior support,
symptom management, accessing community services, and daily living.
(100) "Sub-Acute Psychiatric Care" means
services that are provided by nationally accredited providers to children who
need 24-hour intensive mental health services and supports provided in a secure
setting to assess, evaluate, stabilize, or resolve the symptoms of an acute
episode that occurred as the result of a diagnosed mental health
condition.
(101) "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.
(102) "Substance Use
Disorders" means disorders related to the taking of a drug of abuse such as
alcohol, the side effects of a medication, or toxin exposure. The disorders
include but are not limited to substance use disorders including but not
limited to substance dependence and substance abuse and substance-induced
disorders, including substance intoxication, withdrawal, delirium, and
dementia, as well as substance induced psychotic disorder and mood disorder, as
defined in DSM criteria.
(103)
"Substance Use Disorders Treatment and Recovery Services" means outpatient,
intensive outpatient, or residential services and supports for individuals with
substance use disorders.
(104)
"Substance Use Disorders Treatment Staff" means an individual certified or
licensed by a health or allied provider agency to provide substance use
disorders treatment services such as assessment, development of a service plan,
and individual, group, and family counseling.
(105) "Supine restraint" means a restraint in
which a child in care is held face up on the floor.
(106) "Supports" means activities, referrals,
and supportive relationships designed to enhance the services delivered to
individuals and families for facilitating progress toward intended
outcomes.
(107) "Transfer" means
the process of assisting an individual to transition from the current services
to the next appropriate setting or level of care.
(108) "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 and substance
use 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.
(109) "Treatment" means the planned,
medically appropriate, 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.
(110) "Urgent" means the onset of symptoms
requiring attention within 48 hours to prevent a serious deterioration in an
individual's mental or physical health or threat to safety.
(111) "Urinalysis Test" means an initial test
or, if positive, a confirmatory test conducted by a laboratory meeting the
requirements of OAR 333-024-0305 to
333-024-0365:
(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.
(112)
"Variance" means an exception from a provision of these rules granted in
writing by the Division upon written application from the provider. Duration of
a variance is determined on a case-by-case basis.
(113) "Volunteer" means an individual who
provides a program service or who takes part in a program service and who is
not an employee of the program and is not paid for services. The services shall
be non-clinical unless the individual has the required credentials to provide a
clinical service.
(114) "Wellness"
means an approach to healthcare that emphasizes good physical and mental
health, preventing illness, and prolonging life.
(115) "Wraparound" means a voluntary and
definable care planning process that results in a unique set of community
services and supports individualized for a youth and family to achieve a
positive set of outcomes.
(116)
"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, 426.490 - 426.500, 428.205 - 428.270, 430.640 & 443.450
Statutes/Other Implemented: ORS 109.675, 161.390-161.400, 179.505, 413.520 - 413.522, 426.380 - 426.395, 426.490 - 426.500, 430.010, 430.205 - 430.210, 430.240 - 430.640, 430.850 - 430.955, 443.400 - 443.460, 443.991 & 743A.168
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