OAR 309-018-0145
Service Plan and Service Notes

(1) The Service Plan shall be a written, individualized plan to improve the individual’s condition to the point where the individual’s continued participation in the program is no longer necessary. The Service Plan is included in the individual’s service records and shall:

(a) Be completed prior to the start of services;

(b) Reflect the full assessment and the level of care to be provided;

(c) Include a safety plan when the assessment indicates risk to the health and safety of the individual or to others and be updated as circumstances change. The safety plan may be a separate document from the Service Plan;

(d) Include the participation of the individual;

(e) Include the participation of family members as applicable; and

(f) Be completed and signed by qualified program staff as follows:

(A) Supervisory or treatment staff in substance use disorders treatment and recovery programs, and

(B) Supervisory or treatment staff in problem gambling treatment and recovery programs.

(2) At minimum, each service plan shall include:

(a) Treatment objectives that are:

(A) Individualized to meet the assessed needs of the individual; and

(B) Measurable for the purpose of evaluating, including a baseline evaluation.

(b) The specific services and supports used to meet the treatment objectives;

(c) A projected schedule for service delivery, including the expected frequency and duration of each type of planned therapeutic session or encounter;

(d) The type of personnel furnishing the services; and

(e) A projected schedule for re-evaluating the service plan.

(3) Providers shall document each service and support in a service note to include:

(a) The specific services rendered;

(b) The specific service plan objectives being addressed by the services provided;

(d) The personnel rendering the services, including the name, credentials and signature;

(e) The setting in which the services were rendered; and

(f) Periodic updates describing the individual’s progress.

(4) The transfer of individuals shall be documented in the service notes and in accordance with OAR 309-018-0155 (Transfer and Continuity of Care).

Source: Rule 309-018-0145 — Service Plan and Service Notes, https://secure.sos.state.or.us/oard/view.action?ruleNumber=309-018-0145.

309‑018‑0100
Purpose and Scope 309‑018‑0105
Definitions 309‑018‑0107
Certification Required 309‑018‑0110
Provider Policies 309‑018‑0115
Individual Rights 309‑018‑0125
Specific Staff Qualifications and Competencies 309‑018‑0130
Documentation, Training, and Supervision 309‑018‑0135
Entry 309‑018‑0140
Assessment 309‑018‑0145
Service Plan and Service Notes 309‑018‑0150
Service Record 309‑018‑0155
Transfer and Continuity of Care 309‑018‑0160
Co-Occurring Mental Health and Substance Use Disorders (COD) 309‑018‑0165
Residential Problem Gambling Treatment Services 309‑018‑0170
Culturally Specific Substance Use Disorders Treatment and Recovery Services 309‑018‑0180
Residential Substance Use Disorders Treatment and Recovery Programs 309‑018‑0185
Medical Protocols in Residential Substance Use Disorders Treatment Programs 309‑018‑0190
Administration of Medications 309‑018‑0200
Facility Standards for Substance Use Disorders and Problem Gambling Residential Treatment and Recovery Programs 309‑018‑0205
Quality Assessment and Performance Improvement 309‑018‑0210
Grievances and Appeals 309‑018‑0215
Variances

California:	Codes
Colorado:	C.R.S.
Nevada:	NRS
New York:	Laws
Oregon:	OAR, ORS
Texas:	Statutes
World:	Rome Statute, International Dictionary

OAR 309-018-0145 Service Plan and Service Notes

OAR 309-018-0145
Service Plan and Service Notes