Oregon Administrative Rules
Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES
Division 22 - CHILDREN AND ADOLESCENTS: INTENSIVE TREATMENT SERVICES; INTEGRATED LICENSES; CHILDREN'S EMERGENCY SAFETY INTERVENTION SPECIALISTS
Section 309-022-0205 - CESIS License Applications
Universal Citation: OR Admin Rules 309-022-0205
Current through Register Vol. 63, No. 12, December 1, 2024
(1) Application for licensure as a CESIS shall be made to the Division and be on forms prescribed by the Division.
(2) Application for licensure shall be accompanied by a formal written request from a provider that is certified by the Division, pursuant to OAR 309-008-0100 to 309-008-1600, to provide intensive mental health treatment services for individuals under 21 years of age with which the applicant is employed or contracted. The request must include:
(a) Official transcripts and
supporting documentation as necessary showing the applicant meets
qualifications established by rule for a QMHP;
(b) Verification that an emergency safety
intervention course approved by the Division has been successfully completed
within the past 12 months;
(c)
Verification of certification in CPR and First Aid by a recognized training
agency;
(d) A signed Background
Check Request form as described in OAR chapter 943 division 007. The Criminal
Record Check form will request information regarding criminal history and other
information;
(e) Verification of
employment or contracted services with a provider that is certified by the
Division to provide intensive mental health treatment services for individuals
under 21 years of age;
(f) A copy
of the completed examination or evaluation the provider used to determine the
applicant's competence to assess the psychological and physical well-being of
individuals under 21 years of age; and
(g) A copy of the completed examination or
evaluation the provider used to determine the applicants knowledge of the
federal and state rules governing the use of seclusion and personal restraint
in intensive mental health treatment programs for individuals less than 21
years of age.
Stat. Auth.: ORS 413.042 & 426.415
Stats. Implemented: ORS 426.415
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