Or. Admin. Code § 309-072-0140 - [Effective until 6/29/2025] Standards for Mobile Crisis Intervention Services (MCIS)
(1) Mobile Crisis Intervention Services
(MCIS) must be delivered to any individual experiencing a behavioral health
crisis. MCIS must be available to the community, 24 hours a day, seven days per
week, every day of the year.
(2)
MCIS must be available to individuals in any community-based setting. MCIS may
not be provided to an individual that has been admitted to a hospital. MCIS may
be provided to an individual that is located on a hospital campus and has not
been admitted to a hospital.
(3)
Formal interpretation services must be available to individuals and families
who request services in languages not spoken by Mobile Crisis Intervention Team
(MCIT) members.
(4) The initial
crisis response must be provided to individuals in person by a two-person
multidisciplinary MCIT between the hours of 8am and 12am that includes, at
minimum:
(a) A Qualified Mental Health
Professional (QMHP) or a trained Qualified Mental Health Associate
(QMHA);
(b) One other trained
behavioral health provider as defined in these rules and OAR
309-019-0125;
(c) If a QMHP is not part of the two-person
MCIT in person, a QMHP must be available to respond when clinically indicated,
either by telehealth or in person.
(5) During the hours of 12am - 8am the
initial mobile crisis response may be provided to individuals in person by one
mobile crisis intervention staff who meets the following criteria:
(a) A trained Qualified Mental Health
Professional (QMHP), or a
(b)
Trained Qualified Mental Health Associate (QMHA)
(c) If a QMHP is not sent in person, a QMHP
must be available to respond when clinically indicated, either by telehealth or
in person.
(6)
Regardless of the time of day, if the individual is located on a hospital
campus and has not been admitted to a hospital, the initial crisis response may
be provided to individuals in person by one mobile crisis intervention staff
who meets the following criteria:
(a) A
trained Qualified Mental Health Professional (QMHP), or a
(b) Trained Qualified Mental Health Associate
(QMHA)
(c) If a QMHP is not sent in
person, a QMHP must be available to respond when clinically indicated, either
by telehealth or in person.
(7) MCIT must carry naloxone and have at
least one team member in person who is trained in its administration to reverse
opioid overdoses.
(8) Providers
must ensure equitable access to services, particularly for individuals and
families who may have faced historical and contemporary discrimination and
inequities in health care based on race or ethnicity, physical or cognitive
ability, gender, gender identity or presentation, sexual orientation,
socioeconomic status, insurance status, citizenship status, or
religion.
(9) MCIT must be
dispatched when requested by 988 call centers in collaboration with the MCIT.
Prior to arrival on scene, there must be ongoing determination of the MCIT's
safety.
(10) MCIT must maintain and
implement written policies and protocols, Letters of Agreement, or MOU in place
with 988 call centers, and other crisis call centers detailing how individuals
in crisis will be monitored until a MCIT reaches the location of an individual
or family in crisis.
(11) Providers
must have program staff available to respond to crisis events in their
respective geographic service area with the following maximum response times:
(a) In "urban" areas, MCIT must respond in
person within one hour from the request for dispatch;
(b) In "rural" areas, MCIT must respond in
person within two hours from the request for dispatch;
(c) In "frontier" areas, MCIT must respond in
person within three hours from the request for dispatch;
(d) In "rural" and "frontier" areas, a
provider who is trained in trauma-informed crisis response, de-escalation
strategies, and harm reduction strategies must respond to the crisis event by
phone call within one hour of being notified of the crisis event.
(12) Providers must maintain and
implement written policies and protocols to request law enforcement presence or
co-response at the location of response when appropriate.
(13) Non-CMHP providers certified by the
Division of the Authority to provide MCIS must maintain written policies and
protocols, Letters of Agreement, or MOU with all CMHPs within their service
area to include at minimum:
(a) Policies and
procedures for coordination of services; and
(b) Policies and procedures to comply with
OAR 309-033-0230
(2)(b).
(14) MCIT must attempt and document the
attempt to collect the following information during transit to the location of
crisis, or when appropriate, either directly from the individual in crisis or
from a 988 call center or any other crisis line that requested mobile response
for the individual or family in crisis:
(a)
Name of individual in crisis and individual who called;
(b) Relationship to caller if it is a
third-party call;
(c) Date of birth
of the individual in crisis;
(d)
Insurance provider;
(e) Current
presentation, symptoms, circumstances of person of concern that prompted the
call;
(f) Caller phone
number;
(g) Specific requested
developmental, cultural, or linguistic needs, if any;
(h) The desired response and outcome the
caller is seeking;
(i) Whether
other individuals are physically near the individual in crisis and their
relationship to the individual in crisis;
(j) Presence of an animal including a service
animal, if any;
(k) Presence of
weapon, if any;
(l) Knowledge of
current and/or historical aggression;
(m) Presence of any physical barrier to reach
individual or family at the location of crisis;
(n) Any available information about immediate
unmet needs such as housing, employment, food insecurity etcetera;
(o) Current services or supports in place
such as primary care, family peer support, peer wellness support, faith-based
support.
(15) Providers
must have written agreements in place with any 911 center in their service
area. These agreements must outline the information needed from the 911 center
when transferring a caller to the MCIT. If known, the 911 center will provide
the following information regarding the call:
(a) Name of the caller;
(b) Name of the person in need of MCIS, if
different from the caller;
(c) Date
of birth of individual in crisis;
(d) Current location of the person in
need;
(e) Caller phone
number;
(f) Reason for the
call;
(g) Presence of any known
weapons;
(h) Any specific threats
of harm to self or others by the individual in crisis.
(16) Providers must develop and implement a
structured and ongoing process to assess, monitor, and improve the quality and
effectiveness of services provided to individuals and their families:
(a) CMHPs must report to the Authority data
listed in the County Financial Assistance Agreement based on the frequency of
collection and reporting required by the Authority;
(b) Providers must report the data using a
tool or platform for data collection and reporting approved by the
Authority;
(c) Non-CMHP providers
approved by the Division of the Authority to provide MCIS must comply with all
reporting requirements set by the Authority.
Notes
Statutory/Other Authority: ORS 179.040, 413.042, 413.032-413.033, 426.072, 426.236, 426.500, 430.021, 430.256, 430.357, 430.560, 430.626-430.630, 430.640, 430.870 & 743A.168
Statutes/Other Implemented: ORS 413.520, 426.060, 426.140, 430.010, 430.254, 430.335, 430.590, 430.620, 430.626-430.630 & 430.637
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(1) Mobile Crisis Intervention Services (MCIS) must be delivered to any individual experiencing a behavioral health crisis. MCIS must be available to the community, 24 hours a day, seven days per week, every day of the year.
(2) MCIS must be available to individuals in any community-based setting .
(3) Formal interpretation services must be available to individuals and families who request services in languages not spoken by Mobile Crisis Intervention Team (MCIT) members.
(4) The initial crisis response must be provided to individuals in person by a two-person multidisciplinary MCIT between the hours of 8am and 12am that includes, at minimum:
(a) A Qualified Mental Health Professional (QMHP) or a trained Qualified Mental Health Associate (QMHA) ;
(c) If a QMHP is not part of the two-person MCIT in person , a QMHP must be available to respond when clinically indicated, either by telehealth or in person .
(5) During the hours of 12am - 8am the initial mobile crisis response may be provided to individuals in person by one mobile crisis intervention staff who meets the following criteria:
(a) A trained Qualified Mental Health Professional (QMHP) , or a
(b) Trained Qualified Mental Health Associate (QMHA)
(c) If a QMHP is not sent in person , a QMHP must be available to respond when clinically indicated, either by telehealth or in person .
(6) MCIT must carry naloxone and have at least one team member in person who is trained in its administration to reverse opioid overdoses.
(7) Providers must ensure equitable access to services , particularly for individuals and families who may have faced historical and contemporary discrimination and inequities in health care based on race or ethnicity, physical or cognitive ability, gender, gender identity or presentation, sexual orientation , socioeconomic status, insurance status, citizenship status, or religion.
(8) MCIT must be dispatched when requested by 988 call centers in collaboration with the MCIT. Prior to arrival on scene, there must be ongoing determination of the MCIT's safety .
(9) MCIT must maintain and implement written policies and protocols, Letters of Agreement, or MOU in place with 988 call centers, and other crisis call centers detailing how individuals in crisis will be monitored until a MCIT reaches the location of an individual or family in crisis.
(10) Providers must have program staff available to respond to crisis events in their respective geographic service area with the following maximum response times:
(a) In "urban " areas, MCIT must respond in person within one hour from the request for dispatch;
(b) In "rural " areas, MCIT must respond in person within two hours from the request for dispatch;
(c) In "frontier " areas, MCIT must respond in person within three hours from the request for dispatch;
(d) In "rural " and "frontier " areas, a provider who is trained in trauma-informed crisis response, de-escalation strategies, and harm reduction strategies must respond to the crisis event by phone call within one hour of being notified of the crisis event.
(11) Providers must maintain and implement written policies and protocols to request law enforcement presence or co-response at the location of response when appropriate.
(12) Non-CMHP providers certified by the Division of the Authority to provide MCIS must maintain written policies and protocols, Letters of Agreement, or MOU with all CMHPs within their service area to include at minimum:
(a) Policies and procedures for coordination of services ; and
(b) Policies and procedures to comply with OAR 309-033-0230 (2)(b).
(13) MCIT must attempt and document the attempt to collect the following information during transit to the location of crisis, or when appropriate, either directly from the individual in crisis or from a 988 call center or any other crisis line that requested mobile response for the individual or family in crisis:
(a) Name of individual in crisis and individual who called;
(b) Relationship to caller if it is a third-party call;
(c) Date of birth of the individual in crisis;
(d) Insurance provider ;
(e) Current presentation, symptoms, circumstances of person of concern that prompted the call;
(f) Caller phone number;
(g) Specific requested developmental, cultural, or linguistic needs, if any;
(h) The desired response and outcome the caller is seeking;
(i) Whether other individuals are physically near the individual in crisis and their relationship to the individual in crisis;
(j) Presence of an animal including a service animal , if any;
(k) Presence of weapon , if any;
(l) Knowledge of current and/or historical aggression;
(m) Presence of any physical barrier to reach individual or family at the location of crisis;
(n) Any available information about immediate unmet needs such as housing, employment, food insecurity etcetera;
(o) Current services or supports in place such as primary care , family peer support, peer wellness support, faith-based support.
(14) Providers must have written agreements in place with any 911 center in their service area. These agreements must outline the information needed from the 911 center when transferring a caller to the MCIT. If known, the 911 center will provide the following information regarding the call:
(a) Name of the caller;
(b) Name of the person in need of MCIS, if different from the caller;
(c) Date of birth of individual in crisis;
(d) Current location of the person in need;
(e) Caller phone number;
(f) Reason for the call;
(g) Presence of any known weapons;
(h) Any specific threats of harm to self or others by the individual in crisis.
(15) Providers must develop and implement a structured and ongoing process to assess, monitor, and improve the quality and effectiveness of services provided to individuals and their families:
(a) CMHPs must report to the Authority data listed in the County Financial Assistance Agreement based on the frequency of collection and reporting required by the Authority ;
(b) Providers must report the data using a tool or platform for data collection and reporting approved by the Authority ;
(c) Non-CMHP providers approved by the Division of the Authority to provide MCIS must comply with all reporting requirements set by the Authority .
Notes
Statutory/Other
Statutes/Other Implemented: ORS 413.520, 426.060, 426.140, 430.010, 430.254, 430.335, 430.590, 430.620, 430.626-430.630 & 430.637