Current through Register Vol. 63, No. 12, December 1, 2024
In addition to the general requirements for all ITS providers
set forth in OAR 309-022-0150 and 0155, the
facilities and programs shall meet the following requirements:
(1) Psychiatric Residential Treatment
Facilities (PRTF):
(a) Children shall either
have or be screened for an Individual Education Plan, Personal Education Plan,
or an Individual Family Service Plan;
(b) PRTFs shall maintain one or more linkages
with acute care hospitals or CCOs to coordinate necessary inpatient
care;
(c) Psychiatric residential
clinical care and treatment shall be under the direction of a psychiatrist and
delivered by an interdisciplinary team of board-certified or board-eligible
child and adolescent psychiatrists, registered nurses, psychologists, other
qualified mental health professionals, and other relevant program staff. A
psychiatrist shall be available to the unit 24-hours per day, seven days per
week; and
(d) PRTFs shall be
staffed at a clinical staffing ratio of not less than one program staff for
three children during the day and evening shifts at all times. At least one
program staff for every three program staff members during the day and evening
shifts shall be a QMHP or QMHA. For overnight program staff there shall be a
staffing ratio of at least one program staff for six children at all times for
each program unit. At least one of the overnight program staff shall be a QMHA.
For units that by this ratio have only one overnight program staff, there shall
be additional program staff immediately available within the facility or on the
premises. At least one QMHP shall be on site or on call at all times. At least
one program staff with designated clinical leadership responsibilities shall be
on site at all times.
(2) Programs providing PRTS shall meet the
requirements for PRTF's listed in section (1)(a).
(3) Programs providing SCIP and SAIP services
shall meet the requirements for PRTFs listed in section (1). They shall also
establish policies and practices to meet the following:
(a) The staffing model shall allow for the
child's frequent contact with the child psychiatrist a minimum of one hour per
week;
(b) Psychiatric nursing staff
shall be provided in the program 24 hours per day;
(c) A psychologist, psychiatric social
worker, rehabilitation therapist, and psychologist with documented training in
forensic evaluations shall be available 24 hours per day as appropriate;
and
(d) Program staff with
specialized training in SCIP or SAIP shall be available 24 hours per
day;
(e) The program shall provide
all medically appropriate psychiatric services necessary to meet the child's
psychiatric care needs;
(f) The
program shall provide secure psychiatric treatment services in a manner that
ensures public safety to youth who are under the care and custody of the Oregon
Youth Authority, court ordered for psychiatric evaluation, or admitted by the
authority of the JPSRB; and
(g) The
program may not rely on external entities such as law enforcement or acute
hospital care to assist in the management of the SCIP or SAIP
setting.
(4) In addition
to the services provided as indicated by the assessment and specified in the
service plan, Sub-Acute Psychiatric Care providers shall:
(a) Provide psychiatric nursing staffing at
least 16 hours per day;
(b) Provide
nursing supervision and monitoring and psychiatric supervision at least once
per week; and
(c) Work actively
with the child and family team and multi-disciplinary community partners to
plan for the long-term emotional, behavioral, physical, and social needs of the
child to be met in the most integrated setting in the community.
(5) Residential Adolescent
Substance Use Disorders Treatment and Recovery Services Programs approved to
provide adolescent substance use disorders treatment services or those with
adolescent-designated service funding shall meet the following standards:
(a) Development of service plans, and case
management services shall include participation of parents, other family
members, schools, children's services agencies, and juvenile corrections, as
appropriate;
(b) Services or
appropriate referrals shall include:
(C) Community and social
skills training; and
(D) Smoking
cessation service.
(c)
Continuing care services shall be of appropriate duration and designed to
maximize recovery opportunities. The services shall include:
(A) Reintegration services and coordination
with family and schools;
(B) Youth
dominated self-help groups where available;
(C) Linkage to emancipation services when
appropriate; and
(D) Linkage to
physical or sexual abuse counseling and support services when
appropriate.
(6) Psychiatric Day Treatment Services
(PDTS):
(a) PDTS shall be provided to
children who remain at home with a parent, guardian, or foster parent by
qualified mental health professionals and qualified mental health associates in
consultation with a psychiatrist;
(b) An education program shall be provided,
and children shall be screened for an Individual Education Plan, Personal
Education Plan, or Individual Family Service Plan; and
(c) Psychiatric Day Treatment programs shall
be staffed at a clinical staffing ratio of at least one QMHP or QMHA for three
children.
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
