Or. Admin. Code § 415-057-0150 - Co-occurring Substance Related and Mental Health Disorders (COD)

(1)

(a) In addition to the general standards for prison-based Alcohol and Other Drugs treatment programs under OAR 415-057-0000 through 415-057-0140, programs approved and designated to primarily provide treatment services for people with COD will meet the following standards:

(b) The program will develop written policies and procedures that include program philosophy, acceptance criteria, program content, and providing concurrent substance related treatment and mental health interventions documented in one integrated client record.

(2) COD Program Content: The program for people with COD will include at a minimum an array of treatment options including:

(a) Individual medication evaluation and treatment;

(b) Motivational strategies;

(c) Symptom and medication management;

(d) Care coordination;

(e) Wellness management; and

(f) Relapse prevention.

(3) COD Program Staffing Patterns: The program that provides services and activities to persons with COD will have at a minimum, one full-time QMHP on staff. Caseloads will average 12 clients for each program staff member. Additional masters level practitioners and QMHAs will be scheduled with the consideration of client mental health needs.

(4) COD Program Staffing Qualifications: Staff demonstrate competency in the treatment of co-occurring mental health and substance related disorders. Competencies will include ability to evaluate:

(a) If there is a chronic condition that creates risk or complicates treatment;

(b) If there is cognitive, emotional or behavioral condition severe enough to warrant specific mental health treatment;

(c) Ability of client to manage activities of daily living; and

(d) Ability of the client to cope with emotional, behavioral and cognitive problems.

(5) Additional Training Requirements: Of the 10 hours required in section 415-057-0130(4)(b), at least 8 hours of professional development toward recertification credits every two years specific to COD.

(6) Program Clinical Supervision Staff Qualifications: Clinical Supervision and case consultation is provided on-site by individuals with both CADC and QMHP credentials.

Notes

Or. Admin. Code § 415-057-0150

ADS 2-2010, f. & cert. ef. 5-6-10

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