Or. Admin. Code § 415-057-0010 - Definitions
(1) "Assistant
Director" means the Assistant Director of the Addictions and Mental Health
Division of the Oregon Health Authority, or their designee.
(2) "ASAM PPC-2R" means the American Society
of Addiction Medicine Patient Placement Criteria for the Treatment of
Substance-related Disorders, Second Edition Revised, April 2001, which is a
clinical guide used in matching individuals to appropriate levels of care, and
incorporated by reference in these rules.
(3) "Care Coordination" means a
process-oriented activity to facilitate ongoing communication and collaboration
to meet multiple needs. Care coordination includes facilitating communication
between the Doc institution transition representatives, 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 the program
and the community.
(4) "Client"
means a person receiving services in an Oregon prison-based Alcohol and Other
Drugs treatment program under these rules and who has signed a written consent
that complies with Section 2.35 of the federal confidentiality regulations (42
CFR Part 2).
(5) "Co-occurring
Disorders" or "COD" means co-occurring substance use and mental health
disorders.
(6) "Comprehensive
Diagnostic Assessment" means the process for obtaining all pertinent
information, ancillary and causal factors, as identified by the individual,
family and collateral sources used to determine a diagnosis and develop the
individualized treatment plan.
(7)
"Criminal Risk Factor Assessment" of the Oregon Accountability Model (OAM)
means the assessment process implemented by the Oregon DOC. The outcome is a
corrections plan for every inmate that is tracked throughout an inmate's
incarceration and supervision in the community.
(8) "Criminal Risk Factors" means factors
that predict criminal behavior. The risk factors are assessed at DOC central
intake and integrated in the corrections plan for each inmate.
(9) "Department of Corrections Prison-Based
Alcohol and Other Drugs Treatment Program" means a treatment program for adult
inmates of state correctional institutions who are within the last six to
twelve months of release from incarceration. The program provides Alcohol and
Other Drugs treatment and recovery services and collaborates with partners to
ensure a seamless re-entry into the community.
(10) "Division" means the Addictions and
Mental Health Division of the Oregon Health Authority.
(11) "DOC" means the Oregon Department of
Corrections.
(12) "DSM" means the
"Diagnostic and Statistical Manual of Mental Disorders", published by the
American Psychiatric Association.
(13) "DSM Five-axis Diagnosis" means the
multi-axial diagnosis, consistent with the Diagnostic and Statistical
Manual of Mental Disorders, resulting from the assessment.
(14) "Evidence Based Practice (EBP)" means
clinical Alcohol and Other Drugs treatment practices that are based on
generally accepted scientific research. Treatment programs document efforts to
assure fidelity to a practice and measure the impact of a practice on the
clients, participants and communities.
(15) "Intern or student" means an individual
who is supervised by a qualified supervisor defined in section 415-057-0120 of
this rule, provides a clinical or non-clinical program service, and who is
enrolled in a credentialed or accredited educational program.
(16) "Oregon Accountability Model (OAM)"
means the simultaneous, coordinated and efficient implementation of DOC
initiatives and projects that provide a foundation for inmates to lead
productive lives upon re-entry into the community.
(17) "Oregon Corrections Plan" means the
specific activities the inmate performs to learn skills in order to mitigate
the risk factors identified through the assessment process.
(18) "Permanent client record" means the
official clinical written file for each client containing all information
required by these rules. The permanent client record is maintained to
demonstrate compliance with these rules.
(19) "Primary Counselor" means a program
staff person who is assigned to the client and follows the case throughout the
treatment process.
(20) "Program"
means the Alcohol and Other Drugs Prison-Based Treatment Program.
(21) "Quality assurance" means the process of
objectively and systematically monitoring and evaluating the appropriateness of
client care to identify and resolve identified problems.
(22) "Qualified Mental Health Associate
(QMHA)" means a person delivering services under the direct supervision of a
Qualified Mental Health Professional (QMHP) and meeting the following minimum
qualifications as documented by the Local Mental Health Authority (LMHA) or
designee:
(a) A bachelor's degree in a
behavioral sciences field or a combination of at least three years relevant
work, education, training or experience; and
(b) Who has the competencies necessary to:
(A) Communicate effectively;
(B) Understand mental health assessment,
treatment and service terminology and to apply these concepts; and
(C) Provide psychosocial skills development
and the ability to implement interventions prescribed in a treatment plan
within the scope of his or her practice.
(23) "Qualified Mental Health Professional
(QMHP)" means a Licensed Medical Practitioner (LMP) or any other person meeting
the following minimum qualifications as documented by the LMHA or designee:
(a) A graduate degree in social work,
psychology, a behavioral science field or recreational, art or music therapy;
or
(b) A bachelor's degree in
nursing and licensed by the State of Oregon; or Bachelor's degree in
occupational therapy and licensed by the State of Oregon; and
(c) Education and experience demonstrating
the competencies to identify precipitating events; gather histories of mental
and physical disabilities, recognizing and understanding alcohol and drug use,
past mental health services and criminal justice contacts; assessing family,
social and work relationships; conducting a mental status examination;
documenting a multiaxial DSM diagnosis; writing and supervising a treatment
plan; conducting a Comprehensive Mental Health Assessment; and providing
individual, family, and group therapy within the scope of his or her
practice.
(24)
"Responsivity factors" means individual factors that facilitate or interfere
with learning and are focused on personal characteristics that regulate an
individual's ability and motivation to learn and change behavior.
(25) "Substance related disorders" are
defined in DSM criteria as disorders related to taking a drug, including
alcohol, to the side effects of a medication, and to a toxin exposure. The
disorders include substance dependency and substance abuse, alcohol dependence
and alcohol abuse, and substance induced disorders and alcohol induced
disorders.
(26) "Supportive
Persons" means any person approved by the DOC that the client identifies as
being supportive to the recovery process of the client, including but not
limited to a spouse, domestic partner, parent, child, relative, mentor,
recovery coach, elder, or representative from a faith-based organization or
self-help community organization.
(27) "Unusual Incidents" means an incident or
circumstance involving any DOC inmate participating in the program that
constitutes an immediate threat to the life or health of self, staff, another
inmate, private citizen, or to the property of the DOC.
(28) "Treatment" means the specific medical
and non-medical therapeutic techniques employed to assist the client in
recovering from substance related disorders.
(29) "Volunteer" means an individual who
provides an Alcohol and Other Drugs treatment program service or who takes part
in an Alcohol and Other Drugs treatment program service and who is not an
employee of the program and is not paid for services.
Notes
Stat. Auth.: ORS 413.042, 409.410 & 409.420
Stats. Implemented: ORS 430.240 - 430.640, 430.850 - 430.955, 813.010 - 813.052 & 813.200 - 813.270
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