Or. Admin. Code § 944-001-0010 - Definitions
(1) "Access to Care
Grants" means funds distributed by the Oversight and Accountability Council and
Oregon Health Authority through direct award or request for grant proposal for
purposes of increasing access to one or more of the services described in SB
755 Section 2(3)(a):
(a) Low-barrier substance
use disorder treatment and recovery services;
(b) Peer support and recovery
services;
(c) Housing for
individuals with substance use disorders;
(d) Harm reduction services;
(e) Incentives, training, and supports to
expand behavioral health workforce; and
(f) The above services (a) through (d) for
minor-aged clients.
(2)
"ASAM Criteria" means the Fifth Edition of the American Society of Addiction
Medicine (ASAM) for the Treatment of Addictive, Substance-related, and
Co-Occurring Conditions, which is a clinical guide to develop patient-centered
service plans and make objective decisions about levels of care, continuing
care, and transfer or discharge for individuals.
(3) "Behavioral Health" includes mental
health, substance use, substance use disorders, and problem gambling.
(4) "Behavioral Health Resource Network"
means an organization, Tribal entity or network of organizations that receives
funds from the Oversight and Accountability Council or the Oregon Health
Authority under Section 2, Chapter 2 Oregon Laws 2021 (Ballot Measure 110
(2020)) and these rules.
(5) "Case
Management" means the services to assist individuals to connect to and gain
access to needed services and supports outlined in an individual intervention
plan; substance use disorder treatment, health care, housing, employment and
training, childcare and other applicable services and supports. Case management
is a separate service from recovery peer supports.
(6) "Comprehensive Behavioral Health Needs
Assessment" means the process of obtaining sufficient information, including a
substance use disorder screening, to determine if a diagnosis is appropriate
and to create a self-identified, Individual intervention plan.
(7) "Contingency Management (CM)" is a
behavioral therapy grounded in the principles of operant conditioning. CM is a
method in which desired behaviors are reinforced with prizes, privileges, or
cash. Incentivized behaviors may include attendance at treatment sessions and
provision of negative urine specimens, Reinforcement is often provided in the
form of vouchers that can be exchanged for retail goods and services. It may
also include access to certain privileges, the opportunity to win a prize, or
even direct cash payments.
(8)
"Culturally and Linguistically Responsive Services" means the provision of
effective, equitable, understandable, and respectful quality care and services
that are responsive to diverse cultural health beliefs and practices, preferred
languages, health literacy, and other communication needs.
(9) "Culturally and Linguistically Specific
Services" means provision of culturally and linguistically responsive services
designed for a specific population by a provider who shares the culture,
language, or identity with the individual seeking services.
(10) "Diagnosis" means the principal mental
health or substance use diagnosis listed in the Diagnostic and Statistical
Manual of Mental Disorders (DSM).
(11) "Diagnostic and Statistical Manual of
Mental Disorders (DSM)" refers to the Fifth Edition published by the American
Psychiatric Association.
(12)
"Gender Affirming Care" means health care and health related services that
holistically attends to but is not limited to transgender,
gender-nonconforming, non-binary, Two Spirit and intersex people's physical,
mental, and social health needs and well-being while respectfully affirming
their gender identity. Gender Affirming Care is sensitive and responsive to an
individual's gender identities and expressions. Gender affirming care complies
with non-discrimination laws.
(13)
"Harm Reduction Services" means low-barrier interventions that reduce the
negative individual and public health outcomes of substance use and substance
related harm, such as overdose, and substance use related infections. Harm
Reduction Services include, but are not limited to supported access to
naloxone, sterile syringes, safer use and wound care supplies, substance
use-related infectious disease screening, sobering support, contingency
management, drug checking supplies, and overdose prevention sites, where the
law allows.
(14) "Housing" means
low-barrier shelter, provided based on individual and family needs, including
but not limited to Emergency, Family, Permanent, Recovery, Supportive, and
Transitional as defined below:
(a) "Emergency
Housing" means temporary housing provided to persons/or families in transition
for a period of up to sixty days for the purpose of facilitating the movement
of such persons to a more permanent, safe, and stable living
situation;
(b) "Family Housing"
means housing for people with children that prioritizes not separating
families, traditional or non-traditional, experiencing Substance Use Disorder
(SUD) or harmful substance use;
(c)
"Permanent Housing" means community-based housing without a designated length
of stay and with the goal of facilitating independent living for individuals
and families;
(d) "Recovery
Housing" means abstinence-based or drug-free housing for people in recovery
from addiction. Such housing creates a peer supportive community of individuals
participating in outpatient substance use disorder treatment and those
individuals with an ongoing program of recovery. Recovery Housing provides a
drug free environment for all residents and is inclusive of individuals who are
receiving Medication Assisted Treatment (MAT) and the practice of Intervention
Before Eviction (IBE) if residents relapse;
(e) "Supportive Housing" means a low-barrier,
safe place to live that supports access to lifesaving health services until the
individual decides to participate in a program of recovery. The housing may or
may not have drug-free requirements. The program connects individuals to
treatment and recovery services when the individual chooses to seek a life
without drugs or, may include Housing First or other supportive housing
models;
(f) "Transitional Housing"
means low-barrier housing with appropriate supportive services to homeless
persons with substance use disorder or harmful substance use to facilitate
movement to independent living. The housing is short term.
(15) "Individuals or persons with substance
use disorder" means people with a substance disorder diagnosis or who meet the
diagnostic criteria for a substance use disorder.
(16) "Individual Intervention Plan" means a
plan encompassing the desired changes and outcomes of a recovery process made
collaboratively between an individual and a provider.
(17) "Low-Barrier Substance Use Disorder
Treatment and Recovery Services" means the absence of programmatic barriers to
service delivery including practice induced stigma. Low Barrier Substance Use
Disorder Treatment practices demonstrate the following:
(a) Trauma-informed services regardless of
active use;
(b) Culturally and
linguistically specific services;
(c) Little to no waiting to obtain treatment
services;
(d) Access to treatment
services available within 48 hours after an individual obtains a
screening;
(e) Harm reduction
approach, including the immediate goal of improving quality of life and
protecting against loss of life;
(f) Individualized treatment to meet the
unique needs of each individual;
(g) Unique recovery trajectories that are
personal to each individual and are not dictated by treatment
providers;
(h) Individuals are able
to engage in treatment, including medication for substance use disorders
without administrative delays, lengthy intake, assessment or treatment planning
sessions;
(i) Treatment is provided
without appointment requirements, prior missed appointments cannot be used to
hinder access to treatment;
(j)
Treatment is provided regardless of an individual's ability to pay or insurance
coverage;
(k) Treatment is provided
regardless of criminal history, state residency or citizenship status, or
warrant status;
(l) Transportation
barriers are addressed, facilitating access to treatment, services and
supports;
(m) Minimal or eliminated
travel between multiple service providers; and
(n) Service provider engages in outreach
services and community engagement.
(18) "Organization" means any entity lawfully
registered to do business in the State of Oregon, including, but not limited
to, sole proprietorship, partnership, limited partnership, limited liability
partnership, limited liability company, for profit corporation, or nonprofit
corporation, or any government, including, but not limited to, the nine
federally recognized tribes in this state, counties, cities, Council of
Governments created under ORS Chapter 190, or Special Districts under ORS
chapter 198, e.g. a health district organized under ORS
440.305 to
440.410.
(19) "Peer delivered supports, mentoring, and
recovery services" means low-barrier community-based services, outreach, and
engagement performed by a certified individual who has lived experience with
addiction and recovery and who has specialized training and education and to
work with people who have harm caused by substance use and/or substance use
disorder. These include services provided by the following certified peer
professional types:
(a) Addiction Peer Support
Specialists certified under OAR 950-060;
(b) Addiction Peer Wellness Specialists
certified under OAR 950-060;
(c)
Certified Recovery Mentors certified by the Mental Health and Addiction
Certification Board of Oregon; and
(d) Youth Support Specialists certified under
OAR 950-060.
(20) "Peer
Delivered Services Supervisor" means a qualified individual certified as an
Addiction Peer Support Specialist (PSS), Certified Recovery Mentor (CRM), or an
Addiction Peer Wellness Specialist (PWS) with at least one year of experience
as a PSS, CRM, or PWS in substance use disorder and addiction recovery services
to evaluate and guide PSS, CRM, and PWS program staff in the delivery of peer
delivered services and supports. Must provide one hour of supervision per
week.
(21) "Peer-Run Organization"
means an organization:
(a) In which a majority
of the individuals who oversee the organization's operation and who are in
positions of control have lived experience with mental health or addiction
challenges;
(b) That is fully
independent, separate, and autonomous from other behavioral health agencies;
and
(c) That has the authority and
responsibility for all oversight and decision-making on governance, financial,
personnel, policy, and program issues in the organization.
(22) "Screening" means the process conducted
by PSS, CRM, PWS or other addiction professional to identify circumstances that
require a comprehensive behavioral health needs assessment or referrals to
additional services and supports, at a minimum in the following areas:
(a) Acute care needs;
(b) Treatment for substance use disorders and
co-existing health problems;
(c)
Personal safety needs;
(d) Harm
reduction;
(e) Addiction Peer
supports;
(f) Housing;
(g) Employment and training;
(h) Childcare needs; and
(i) Food and basic needs.
(23) "Supervision for Addiction
Peer Support Specialists, Certified Recovery Mentors, and Addiction Peer
Wellness Specialists" means at least one hour of supervision per week by a
qualified peer delivered services supervisor, and one hour per week of
supervision by a qualified clinical supervisor when in a clinical setting. The
supports provided include guidance in the unique discipline of peer delivered
services and the roles of peer support specialists and peer wellness
specialists.
(24) "Supported
employment" means individualized services that assist individuals with
substance use disorder in obtaining and maintaining employment in the community
and in continuing treatment for the individual to ensure rehabilitation and
productive employment.
(25)
"Supported employment services" means services provided for supported
employment, including but not limited to:
(a)
Job development;
(b) Supervision
and job training;
(c) On-the-job
visitation;
(d) Consultation with
the employer;
(e) Job
coaching;
(f) Counseling;
(g) Skills training; and
(h) Transportation.
Notes
Statutory/Other Authority: Ballot Measure 110 (2020), SB 755 (2021), ORS 430.389, ORS 430.390 & ORS 430.391
Statutes/Other Implemented: Ballot Measure 110 (2020), SB 755 (2021), ORS 430.383 & ORS 430.392
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