OAR 309-019-0135
Entry and Assessment

(1) The program shall utilize an entry procedure that at a minimum shall ensure the provision and documentation of the following:
(a) Individuals shall be considered for entry without regard to race, ethnicity, gender, gender identity, gender expression, 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) The provider may not solely deny entry to individuals who are prescribed medication to treat opioid dependence;
(c) Individuals shall receive services in the most timely manner feasible consistent with the presenting circumstances;
(d) Written voluntary informed consent for services shall be obtained from the individual or guardian prior to the start of services. If consent is not obtained, the reason shall be documented and further attempts to obtain informed consent shall be made as appropriate;
(e) The provider shall develop and maintain service records and other documentation for each individual that demonstrates the specific services and supports for which payment has been requested;
(f) The provider shall report the entry of all individuals on the mandated state data system;
(g) In accordance with ORS 179.505 (Disclosure of written accounts by health care services provider), HIPAA, and 42 CFR Part 2, an authorization for the release of information shall be obtained for any confidential information concerning the individual being considered for or receiving services;
(h) 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) An opportunity to complete a Declaration for Mental Health Treatment with the individual’s participation and informed consent;
(B) A description of individual rights consistent with these rules;
(C) Policy concerning grievances and appeals consistent with these rules including an example grievance form;
(D) Notice of privacy practices; and
(E) An opportunity to register to vote.
(2) Entry requirements for providers that receive the Substance Abuse Prevention Treatment (SAPT) block grant:
(a) Individuals shall be prioritized in the following order:
(A) Women who are pregnant and using substances intravenously;
(B) Women who are pregnant;
(C) Individuals who are using substances intravenously; and
(D) Women with dependent children.
(b) Individuals using substances intravenously shall receive interim referrals and information prior to entry to reduce the adverse health effects of substance use, promote the health of the individual, and reduce the risk of transmission of disease. At a minimum, interim referral and informational services shall include:
(A) Counseling and education about blood borne pathogens including Hepatitis, HIV, STDs, and Tuberculosis (TB); the risks of needle and paraphernalia sharing; and the likelihood of transmission to sexual partners and infants;
(B) Counseling and education about steps that can decrease the likelihood of Hepatitis, HIV, STD, and TB transmission;
(C) Referral for Hepatitis, HIV, STD, and TB testing, vaccine, or care services if necessary;
(D) For pregnant women, counseling on the likelihood of blood borne pathogen transmission as well as the effects of alcohol, tobacco, and other drug use on the fetus and referral for prenatal care; and
(E) Peer Delivered Services that address parenting and youth in transition support, as indicated.
(3) At the time of entry, an assessment shall be completed:
(a) Qualified program staff shall complete the assessment as follows:
(A) A QMHP in mental health programs. A QMHA may assist in the gathering and compiling of information to be included in the assessment;
(B) Supervisory or treatment staff in substance use disorders treatment programs; or
(C) Supervisory or treatment staff in problem gambling treatment programs.
(b) Each assessment shall include sufficient information and documentation to justify the presence of a diagnosis that is the medically appropriate reason for services;
(c) For substance use disorders services, each assessment shall be consistent with the dimensions described in the ASAM and shall document a diagnosis and level of care determination consistent with the DSM and ASAM;
(d) When the assessment process determines the presence of co-occurring substance use and mental health disorders or any 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) 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) Providers shall update assessments when there are changes in clinical circumstances; and
(f) Any individual continuing to receive mental health services for one or more continuous years shall receive an annual assessment by a QMHP.

Source: Rule 309-019-0135 — Entry and Assessment, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-019-0135.

309‑019‑0100
Purpose and Scope 309‑019‑0105
Definitions 309‑019‑0110
Provider Policies 309‑019‑0115
Individual Rights 309‑019‑0125
Specific Staff Qualifications and Competencies 309‑019‑0130
Personnel Documentation, Training, and Supervision 309‑019‑0135
Entry and Assessment 309‑019‑0140
Service Plan and Service Notes 309‑019‑0145
Co-Occurring Mental Health and Substance Use Disorders (COD) 309‑019‑0150
Community Mental Health Programs (CMHP) 309‑019‑0155
Enhanced Care Services (ECS) and Enhanced Care Outreach Services (ECOS) 309‑019‑0160
Psychiatric Security Review Board and Juvenile Psychiatric Security Review Board 309‑019‑0165
Intensive Outpatient Services and Supports (IOSS) for Children 309‑019‑0167
Intensive In-Home Behavioral Health Treatment (IIBHT) for Children 309‑019‑0170
Outpatient Problem Gambling Treatment and Recovery Services 309‑019‑0175
Culturally Specific Substance Use Disorders Treatment and Recovery Services 309‑019‑0185
Outpatient Substance Use Disorders Treatment and Recovery Programs 309‑019‑0190
Community-Based Substance Use Treatment Programs for Individuals in the Criminal Justice System 309‑019‑0195
DUII Services Providers 309‑019‑0200
Medical Protocols in Outpatient Substance Use Disorders Treatment and Recovery Programs 309‑019‑0205
Building Requirements in Behavioral Health Programs 309‑019‑0210
Quality Assessment and Performance Improvement 309‑019‑0215
Grievances and Appeals 309‑019‑0220
Variances 309‑019‑0225
Assertive Community Treatment (ACT) Definitions 309‑019‑0226
Assertive Community Treatment (ACT) Overview 309‑019‑0230
ACT Provider Qualifications 309‑019‑0235
ACT Continued Fidelity Requirements 309‑019‑0240
ACT Failure to Meet Fidelity Standards 309‑019‑0241
Waiver of Minimum Fidelity Requirements 309‑019‑0242
ACT Program Operational Standards 309‑019‑0245
ACT Admission Criteria 309‑019‑0248
ACT Admission Process 309‑019‑0250
ACT Transition to Less Intensive Services and Discharge 309‑019‑0255
ACT Reporting Requirements 309‑019‑0270
Definitions 309‑019‑0275
Individual Placement and Support (IPS) Supported Employment Overview 309‑019‑0280
Supported Employment Providers 309‑019‑0285
Continued Fidelity Requirements 309‑019‑0290
Failure to Meet Fidelity Standards 309‑019‑0295
Reporting Requirements 309‑019‑0300
Service Requirements 309‑019‑0305
Provider Standards 309‑019‑0310
Minimum Staffing Requirements 309‑019‑0315
Training Requirements 309‑019‑0320
Documentation Requirements 309‑019‑0324
Youth Wraparound Definitions 309‑019‑0326
Youth Wraparound Program Rules
Last Updated

Jun. 8, 2021

Rule 309-019-0135’s source at or​.us