Oregon Administrative Rules
Chapter 309 - OREGON HEALTH AUTHORITY, HEALTH SYSTEMS DIVISION: BEHAVIORAL HEALTH SERVICES
Division 72 - MOBILE CRISIS INTERVENTION SERVICES AND STABILIZATION SERVICES
Section 309-072-0140 - Standards for Mobile Crisis Intervention Services (MCIS)

(1) Mobile Crisis Intervention Services (MCIS) must be delivered to any individual experiencing a behavioral health crisis. MCIS must be available to the community, 24 hours a day, seven days per week, every day of the year.

(2) MCIS must be available to individuals in any community-based setting.

(3) Formal interpretation services must be available to individuals and families who request services in languages not spoken by Mobile Crisis Intervention Team (MCIT) members.

(4) The initial crisis response must be provided to individuals in person by a two-person multidisciplinary MCIT that includes, at minimum:

(5) MCIT must carry naloxone and have at least one team member in person who is trained in its administration to reverse opioid overdoses.

(6) Providers must ensure equitable access to services, particularly for individuals and families who may have faced historical and contemporary discrimination and inequities in health care based on race or ethnicity, physical or cognitive ability, gender, gender identity or presentation, sexual orientation, socioeconomic status, insurance status, citizenship status, or religion.

(7) MCIT must be dispatched when requested by 988 call centers in collaboration with the MCIT. Prior to arrival on scene, there must be ongoing determination of the MCIT's safety.

(8) MCIT must maintain and implement written policies and protocols, Letters of Agreement, or MOU in place with 988 call centers, and other crisis call centers detailing how individuals in crisis will be monitored until a MCIT reaches the location of an individual or family in crisis.

(9) Providers must have program staff available to respond to crisis events in their respective geographic service area with the following maximum response times:

(10) Providers must maintain and implement written policies and protocols to request law enforcement presence or co-response at the location of response when appropriate.

(11) Non-CMHP providers certified by the Division of the Authority to provide MCIS must maintain written policies and protocols, Letters of Agreement, or MOU with all CMHPs within their service area to include at minimum:

(12) MCIT must attempt and document the attempt to collect the following information during transit to the location of crisis, or when appropriate, either directly from the individual in crisis or from a 988 call center or any other crisis line that requested mobile response for the individual or family in crisis:

(13) Providers must have written agreements in place with any 911 center in their service area. These agreements must outline the information needed from the 911 center when transferring a caller to the MCIT. If known, the 911 center will provide the following information regarding the call:

(14) Providers must develop and implement a structured and ongoing process to assess, monitor, and improve the quality and effectiveness of services provided to individuals and their families: