(1) ITS providers shall have the clinical
leadership and sufficient QMHP, QMHA, and other program staff to meet the
24-hour, seven days per week treatment needs of children and shall establish
policies, procedures, and contracts to assure:
(a) Availability of psychiatric services to
meet the following requirements:
(A)
Provision of medical oversight of the clinical aspects of care in nationally
accredited sub-acute and psychiatric residential treatment facilities and
provide 24-hour, seven days per week psychiatric on-call coverage, or consult
on clinical care and treatment in psychiatric day treatment; and
(B) Assessment of each child's medication and
treatment needs, prescribe medicine or otherwise assure that case management
and consultation services are provided to obtain prescriptions, and prescribe
therapeutic modalities to achieve the child's service plan goals.
(b) There shall be at least one
program staff who has completed First Aid and CPR training on duty at all
times.
(2) Residential
ITS providers shall ensure overnight program staff visually monitor clients at
specified intervals as per agency policy during sleeping hours for signs of
life. This includes monitoring for breathing and movement.
(3) ITS providers shall ensure that the
following services and supports are available and accessible through direct
service, contract, or by referral:
(a) Active
psychiatric treatment and education services shall be functionally integrated
in a therapeutic environment designed to reflect and promote achievement of the
intended outcomes of each child's service plan;
(b) Continuity of the child's education when
treatment services interrupt the child's day to day educational
environment;
(c) Family therapy
provided by a QMHP. The family therapist to child ratio shall be at least one
family therapist for each 12 children;
(d) Psychiatric services;
(e) Individual, group, and family therapies
provided by a QMHP. There shall be no less than one family therapist available
for each 12 children;
(f)
Medication evaluation, management, and monitoring;
(g) Pre-vocational or vocational
rehabilitation;
(h) Therapies
supporting speech, language, and hearing rehabilitation;
(i) Individual and group psychosocial skills
development;
(j) Activity and
recreational therapies;
(k)
Nutrition;
(l) Physical health care
services or coordination;
(m)
Recreational and social activities consistent with individual strengths and
interests;
(n) Educational services
coordination and advocacy; and
(o)
Behavior support services.
Notes
Or. Admin. Code
§
309-022-0155
MHS 8-2013(Temp), f.
8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 5-2014, f. & cert. ef. 2-3-14;
MHS 27-2016(Temp), f. & cert. ef. 12-29-16 thru 6-26-17;
MHS
7-2017, f. & cert. ef.
6/23/2017; BHS 16-2018, temporary amend filed
07/17/2018, effective 08/01/2018 through 01/27/2019;
BHS
24-2018, amend filed 12/27/2018, effective
1/25/2019
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
