Or. Admin. Code § 419-460-0190 - Outdoor Youth Programs: Program Services
(1) Admissions assessments. An outdoor youth
program must perform an admission assessment on each child in care.
(a) Admissions process. An assigned staff
member with documented experience in the area of admissions screening and
assessment, who is familiar with the outdoor youth program, must complete an
individual admissions assessment for each child in care prior to
enrollment.
(b) Admissions to be
based on admissions assessment. The outdoor youth program must base admission
of each child in care on the individual admissions assessment. The assessment
must be the basis for the child in care's service plan. The assessment must
include all of the following components:
(A)
Social history including home, community, and environment.
(B) Health history, including current
prescriptions and over the counter medication;
(C) Psychological history, including behavior
problems, aggression, substance abuse, family dynamics, prior evaluations, and
any previous treatment.
(D) For a
child in care with indications of a mental health diagnosis, the assessment
must include a determination by a licensed, certified, or registered mental
health professional whether the outdoor youth program is appropriate and how
the program activities will address the child in care's needs, or whether
another type of mental health treatment is indicated for the child in care
before the child in care enters the field portion of the outdoor youth program.
(i) If the program has reasonable grounds to
believe that a child in care for whom admission is sought has a mental health
diagnosis, the program must require the submission of an evaluation, completed
not more than 90 days previously, of the child in care's mental health
condition by a clinical psychologist of psychiatrist.
(ii) The evaluation described in subparagraph
(i) of this paragraph and other available evaluations and relevant
documentation must be reviewed by a qualified mental health professional who
must describe in writing how the treatment to be provided at the outdoor youth
program is appropriate for the identified mental health diagnosis. This
description must include how the activities of the program will address the
needs of the child in care and relate to the child in care's service
plan.
(E) For a child in
care with indications of substance abuse, the assessment must include a
determination by a professional in chemical dependency whether detoxification
is indicated for the child in care before the child in care enters the field
portion of the outdoor youth program.
(c) Consultation and additional information.
If after a review of the components required by the Admissions Assessment,
there is any question as to the appropriateness of admission of a child in
care, the assigned staff member must consult with the Multidisciplinary Team
and document the decision. If the information available about the child in care
is inadequate for the determination of appropriateness for the outdoor youth
program, the outdoor youth program must require additional necessary
information which may include evaluations by consulting
professionals.
(d) Evaluation of
appropriateness of admission. Each admissions assessment must include a summary
evaluation of the appropriateness of the admission of the child in care into
the outdoor youth program.
(e)
Field entry.
(A) An outdoor youth program must
conduct an interview and orientation with each child in care before the child
in care leaves for the field portion of the program away from the main base of
operations.
(B) The field director
or senior field staff assigned to the child in care's field experience must
conduct an interview with the child in care prior to entrance into the field;
and
(C) The medically trained field
staff assigned to the child in care's field experience must conduct a review of
the child in care's health history and physical examination report.
(2) Service planning.
Each child in care must be served according to a service plan, developed by the
outdoor youth program staff and including, whenever possible, the program
director, child-care workers, other involved professionals, the child in care,
and his or her family. The program must make every effort to secure the
participation of the legal guardians in planning, and, if they do not
participate, must document the reasons why. An outdoor youth program has an
affirmative responsibility to provide competent individualized service planning
for each child in care to include ongoing evaluation and change as needed.
Service planning time lines must be as follows:
(a) Initial service plan. An outdoor youth
program must write the initial service plan based on the admission assessments,
all referral documents, and the child in care's individual needs on or before
admission, and provide a copy to the senior field staff upon the child in
care's entry into the outdoor youth program.
(b) Updated service plan. Within 14 days of
the date the child in care enters the field, the outdoor youth program must
write an updated service plan based on field observations and additional
information received (family information, medical reports, and child in care
disclosures). If a child in care has a significant mental health diagnosis, the
service plan must specify how and by whom the treatment related to the
diagnosis will be addressed.
(c)
Monthly review. The outdoor youth program must review and update the service
plan monthly, and document the review. Changes in the service plan must be
promptly shared with the child in care and the child in care's legal
guardian.
(d) Discharge summary.
The discharge summary must include a written summary of the child in care's
participation and progress achieved, results of evaluations, conditions of the
child in care, interactions of child in care and staff, briefings and
debriefings, compliance with program policies and procedures, and
recommendations. The discharge summary must be retained in the child in care's
file and a copy provided to the child in care's legal guardians.
(3) Areas of emphasis in the
service plan and planning process. It is the intent of the Department that an
outdoor youth program must make every reasonable effort to ensure participation
by the child in care's family in all aspects of the service and service
planning process. To that end, the outdoor youth program staff must:
(a) Encourage parent participation in the
intake process;
(b) If the child in
care's parent or legal guardian cannot participate in the intake process,
ensure participation in the intake process by those responsible for the
environment in which the child in care resides prior to placement with the
outdoor youth program;
(c) Support
the family and those responsible for the environment in which the child in care
resides during intervention activities, including alternate suggestions for any
child in care not accepted at intake;
(d) Consider the family's responsibility,
needs, and values in the planning and service process;
(e) Provide an orientation procedure for the
child in care and his or her family;
(f) Ensure that information regarding
significant events in the child in care's family is passed on to appropriate
staff members;
(g) Review service
plans, activities, and progress with the family monthly; and
(h) Ensure that the educational needs of the
child in care are an integral part of the service plan. Children in care who
have not graduated from high school must have access to an appropriate
education that affords sufficient transferable credits for the child in care to
stay on course to graduate.
Notes
Statutory/Other Authority: ORS 409.050, ORS 418.005 & ORS 418.240
Statutes/Other Implemented: ORS 418.990 - 418.998, ORS 409.010 & ORS 418.205 - 418.325
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