Or. Admin. Code § 410-170-0090 - BRS Types of Care
(1) Shelter,
Community Step-Down, and Independent Living Program:
(a) The BRS contractor or BRS provider may
use either a residential care model or proctor care model for these BRS types
of care;
(b) The BRS contractor
providing one of these BRS types of care shall, and require that its BRS
provider, ensure that a minimum of six hours of services are available per week
to each BRS client as follows:
(A) One hour
of individual counseling or individual skills-training provided by social
service staff; and
(B) Five hours
of any combination of individual or group counseling, crisis counseling,
skills-training, or parent training.
(c) The BRS client is placed in a shelter
type of care as a short-term intervention to develop necessary
skills;
(d) The BRS client is
placed in a community step-down type of care from a higher BRS level of care
following a thorough Assessment and Evaluation Report and when the BRS client
requires only six BRS hours of service but the same level of BRS structure and
support;
(e) The BRS client placed
in an independent living program type of care requires a structured, supervised
setting prior to transitioning to a supported community placement or living
independently.
(2)
Enhanced Structure Independent Living Program:
(a) This BRS type of care follows a
residential care model;
(b) The BRS
contractor providing this BRS type of care shall, and require that its BRS
provider, ensure that a minimum of six hours of services are available per week
to each BRS client as follows:
(A) One hour of
individual counseling or individual skills-training provided by social service
staff; and
(B) Five hours of any
combination of individual or group counseling, crisis counseling,
skills-training, or parent training.
(c) The BRS client placed in an enhanced
structure independent living program type of care requires a structured,
supervised setting with increased staff supervision and support prior to
transitioning to a supported community placement or living
independently.
(d) The BRS client
placed in an independent living program type of care requires a structured,
supervised setting prior to transitioning to a supported community placement or
independent living.
(3)
Proctor Care, Proctor Enhanced Services, Assessment and Evaluation Proctor:
(a) These BRS types of care follow a proctor
care model;
(b) The BRS contractor
providing one of these BRS types of care shall, and require that its BRS
provider, ensure that a minimum of 11 hours of services are available per week
to each BRS client as follows:
(A) Two hours
of individual counseling or individual skills-training, one of which is
provided by social service staff; and
(B) Nine hours of any combination of
individual or group counseling, crisis counseling, skills-training, or parent
training.
(c) The BRS
client placed in proctor care types of care requires structure, behavior
management, and support services to develop the skills necessary to be
successful in a less restrictive home setting with an approved proctor foster
parent;
(d) The BRS client placed
in proctor enhanced services types of care requires enhanced structure during
the daytime hours. This level of care provides the structure of day treatment
for necessary skill development with a less restrictive home setting with an
approved proctor foster parent;
(e)
The BRS client is placed in assessment and evaluation proctor type of care to
identify deficiencies and develop necessary skills.
(4) Basic Residential, Rehabilitation
Services, Intensive Residential, Intensive Rehabilitation Services, Assessment
and Evaluation Residential, Short-Term Stabilization:
(a) These types of care follow a residential
care model. The BRS contractor shall, and require that its BRS provider,
provide 24-hour supervision of the BRS client by ensuring that at least one
direct care staff is on duty and awake whenever a BRS client is present in its
program;
(b) The BRS contractor
providing these BRS types of care shall, and require that its BRS provider,
ensure that a minimum of 11 hours of services are available per week to each
BRS client as follows:
(A) Two hours of
either individual counseling or individual skills-training, one of which is
provided by social service staff; and
(B) Nine hours of any combination of
individual or group counseling, crisis counseling, skills-training, or parent
training.
(c) The BRS
client placed in basic residential BRS types of care requires the structure,
behavior management, and support services of a residential care model for
necessary skill development;
(d)
The BRS client placed in rehabilitation services types of care requires the
structure, behavior management, and support services of a residential care
model for necessary skill development;
(e) The BRS client is placed in assessment
and evaluation residential BRS type of care to identify deficiencies and
develop necessary skills;
(f) The
BRS client placed in intensive residential or intensive rehabilitation services
BRS types of care requires more intensive structure, behavior management, and
support services than a BRS client in the basic residential or rehabilitation
BRS types of care;
(g) The BRS
client placed in short-term stabilization BRS type of care requires short-term
intervention to provide behavioral stabilization.
(5) Intensive Behavioral Support:
(a) This type of care follows a residential
care model. The BRS contractor shall, and require that its BRS provider,
provide 24-hour supervision of the BRS client by ensuring that at least one
direct care staff is on duty and awake whenever a BRS client is present in its
program;
(b) The BRS contractor
providing this level of care shall, and require that its BRS provider, ensure
that a minimum of 11 hours of services are available per week to each BRS
client as follows:
(A) Three hours of
individual counseling or individual skills-training, two hours of which are
provided by social service staff; and
(B) Eight hours of any combination of
individual or group counseling, crisis counseling, skills-training, or parent
training.
(c) BRS
clients placed in the intensive behavioral support type of care have difficulty
re-regulating their emotions due to the presence of complex developmental
trauma or other mental health concerns. They require skill training and
intensive behavioral support.
Notes
Statutory/Other Authority: ORS 413.042 & 414.065
Statutes/Other Implemented: ORS 414.065
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