Current through Register Vol. 63, No. 12, December 1, 2024
(1) The
program shall utilize a written entry procedure to ensure the following:
(a) Individuals shall be considered for entry
without regard to race, ethnicity, gender, gender identity, gender
presentation, sexual orientation, religion, creed, national origin, age, except
when program eligibility is restricted to children, adults or older adults,
familial status, marital status, source of income, and disability;
(b) Individuals shall receive services in the
timeliest manner feasible consistent with the presenting
circumstances;
(c) Written informed
consent for services shall be obtained from the individual or guardian, if
applicable, prior to the start of services. If such consent is not obtained,
the reason shall be documented and further attempts to obtain informed consent
shall be made as appropriate;
(d)
The provider shall develop and maintain service records and other documentation
for each individual that demonstrates the specific services and supports and
the applicable date;
(e) The
provider shall report the entry of all individuals on the mandated state data
system;
(f) In accordance with ORS
179.505 and HIPAA, an
authorization for the release of information shall be obtained for any
confidential information concerning the individual being considered for or
receiving services.
(2)
At the time of entry, the program shall offer to the individual and guardian,
if applicable, written program orientation information. The written information
shall be in a language understood by the individual and shall include:
(a) A description of individual rights
consistent with these rules; and
(b) Policies concerning grievances and
appeals, including an example grievance form: and
(c) Policies concerning
confidentiality.
(3)
Entry of children in community-based mental health services shall be
prioritized in the following order:
(a)
Children who are at immediate risk of psychiatric hospitalization or removal
from home due to emotional and mental health conditions;
(b) Children who have severe mental health
conditions;
(c) Children who
exhibit behavior that indicates high risk of developing conditions of a severe
or persistent nature; and
(d) Any
other child who is experiencing mental health conditions that significantly
affect the child's ability to function in everyday life but not requiring
hospitalization or removal from home in the near future.
(4) Assessment:
(a) At the time of entry, an assessment shall
be completed prior to development of the service plan;
(b) The assessment shall be completed by a
QMHP. A QMHA may assist in the gathering and compiling of information to be
included in the assessment;
(c)
Each assessment shall include:
(A) Sufficient
information and documentation to justify the presence of a DSM diagnosis that
is the medically appropriate reason for services;
(B) Suicide potential shall be assessed and
service records shall contain follow-up actions and referrals when an
individual reports symptoms indicating risk of suicide;
(C) Screening for the presence of
co-occurring disorders and chronic medical conditions; and
(D) Screening for the presence of symptoms
related to physical or psychological trauma.
(d) When the assessment process determines
the presence of co-occurring substance use and mental health disorders or any
significant risk to health and safety:
(A)
Additional assessments shall be used to determine the need for additional
services and supports and the level of risk to the individual or to others;
and
(B) All providers shall
document referral for further assessment, planning, and intervention from an
appropriate professional, either with the same provider or with a collaborative
community provider.
(e)
In addition to periodic assessment updates based on changes in the clinical
circumstance, any individual continuing to receive mental health services for
one or more continuous years shall receive an annual assessment by an
LMP.
(f) Integrated/IPSR providers
shall also meet the requirements specified in OAR
309-018-0140 for conducting
assessments.
Statutory/Other Authority: ORS
161.390,
413.042,
430.256,
426.490 -
426.500,
428.205 -
428.270,
430.640 &
443.450
Statutes/Other Implemented: ORS
109.675,
161.390 -
161.400,
179.505,
413.520 -
413.522,
426.380 -
426.395,
426.490 -
426.500,
430.010,
430.205 -
430.210,
430.240 -
430.640,
430.850 -
430.955,
443.400 -
443.460,
443.991 &
743A.168
