Current through Register Vol. 63, No. 9, September 1, 2024
(1) Providers shall maintain personnel
records for each program staff that contains all of the following
documentation:
(a) The results of a criminal
records check applicable to the current position or title, and:
(A) For personnel who render mental health
services or have access to mental health protected health information such as
service records or billing information, the program shall use The Oregon
Criminal Records Check and those processes and procedures required by OAR
943-007-0001 through 0501;
and
(B) For personnel who render
only substance use disorder treatment services or have access to only substance
use disorder protected health information such as service records or billing
information, the program shall use national and state-wide criminal records
check processes.
(b) A
current job description that includes applicable competencies;
(c) Copies of relevant licensure or
certification, registration for licensure or certification, diploma, or
certified transcripts from an accredited college, indicating that the program
staff meets applicable qualifications;
(d) Documentation of a minimum of two hours
every two years or three hours every three years of training in suicide risk
screening suicide risk assessment, treatment and management;
(e) Periodic performance
appraisals;
(f) Program orientation
documentation;
(g) Disciplinary
documentation;
(h) Documentation of
trainings required by this or other applicable rules; and
(i) Documentation of clinical
supervision.
(2) Program
Orientation: Providers shall ensure that program staff receive training
applicable to the specific population for whom services are planned, delivered,
or supervised. The Provider shall document that the following orientation was
completed for each program staff providing or supervising services or supports
within 30 days of the hire date, unless otherwise specified. At a minimum,
program orientation and training for all program staff shall include but not be
limited to:
(a) A review of crisis prevention
and response procedures;
(b) A
review of emergency evacuation procedures;
(c) A review of program policies and
procedures, including the procedures for each certified ASAM Level of Care for
substance use disorder treatment program staff;
(d) A review of rights for individuals
receiving services and supports;
(e) A review of mandatory abuse reporting
procedures;
(f) A review of
confidentiality policies and procedures;
(g) A review of Fraud, Waste and Abuse
policies and procedures;
(h) A
review of care coordination policies and procedures;
(i) A review of and agreement to abide by the
Code of Conduct;
(j) Substance use
disorders treatment staff and substance use disorders clinical supervisors
shall complete a training on The ASAM Criteria within the first three months of
employment rendering substance use disorder services or supports or have it
documented as completed within the most recent two years; and
(k) For Enhanced Care Services, positive
behavior support training.
(3) Clinical Supervision: program staff,
including peer support and peer wellness specialists, volunteers and interns
providing direct services or supports shall receive documented clinical
supervision by a qualified clinical supervisor related to the development,
implementation, and outcome of services. Part time staff shall receive
supervision prorated to reflect the average number of hours worked. Half the
total supervision hours required may be accomplished through group supervision.
Individual face-to face contact may include real time, two-way audio or
audio-visual conferencing, and:
(a)
Documentation shall include:
(A) The
date;
(B) Amount of time per
session; and
(C) A brief
description of the topics addressed.
(b) Clinical Supervision shall be provided to
assist staff to:
(A) Increase their skills
within their scope of practice;
(B)
Improve quality of services to individuals; and
(C) Ensure understanding, application and
compliance with the code of conduct and program policies and
procedures.
(c)
Documentation shall demonstrate the following minimum hours of clinical
supervision for full-time staff per month:
(A)
Non-licensed program staff shall receive at least two hours per month of
clinical supervision. The two hours shall include one hour of individual
face-to-face supervision;
(B)
Program staff holding a license issued by a Division recognized credentialing
body and volunteers meeting the definition of program staff shall receive at
least two hours of clinical supervision quarterly;
(C) Mental Health Interns and Student Interns
shall receive one-hour of individual clinical supervision per week;
and
(D) When available, a qualified
Peer Delivered Services Supervisor shall provide one of the two hours of
required monthly supervision to program staff providing direct Peer Delivered
Services. Remaining hours of supervision shall be provided by a qualified
clinical supervisor.
(d)
Mental Health Interns and Student Interns shall render services and supports
under the active supervision of a qualified supervisor, as defined in these
rules; and
(e) Individualized
non-clinical supervision shall be utilized as needed and documented.
Statutory/Other Authority: ORS
161.390,
413.042,
430.256 &
430.640
Statutes/Other Implemented: ORS
109.675,
428.205 -
428.270,
430.010,
430.205 -
430.210,
430.254 -
430.640,
430.850 -
430.955 &
743A.168
