OAR 309-019-0226
Assertive Community Treatment (ACT) Overview

(1) The Substance Abuse and Mental Health Services Administration (SAMHSA) characterizes ACT as an evidence-based practice for individuals with a serious and persistent mental illness. ACT is characterized by:
(a) A team approach;
(b) Community based;
(c) A small client to staff caseload, typically 10:1, to consistently provide necessary staffing diversity and coverage;
(d) Time-unlimited services;
(e) Flexible service delivery;
(f) A fixed point of responsibility; and
(g) 24⁄7 availability for response to psychiatric crisis.
(2) ACT services shall include but are not limited to:
(a) Hospital discharge planning, including OSH and acute care psychiatric hospitals;
(b) Case management;
(c) Symptom management;
(d) Psychiatry services;
(e) Nursing services;
(f) Co-occurring substance use and mental health disorders treatment services;
(g) Individual Placement and Support (IPS) supported employment services;
(h) Life skills training; and
(i) Peer delivered services.
(3) SAMHSA characterizes a high fidelity ACT program as one that includes the following staff members:
(a) Psychiatrist or Psychiatric Nurse Practitioner;
(b) Psychiatric Nurse;
(c) Qualified Mental Health Professional (QMHP) ACT Team Supervisor;
(d) Qualified Mental Health Professional (QMHP) Mental Health Clinician;
(e) Substance Abuse Treatment Specialist;
(f) Employment Specialist;
(g) Mental Health Case Manager; and
(h) Certified Peer Support Specialist.
(4) SAMHSA characterizes high fidelity ACT programs as those that adhere to the following:
(a) Providing explicit admission criteria with an identified mission to serve a particular population using quantitative and operationally defined criteria;
(b) Managing intake rates. ACT eligible individuals are admitted to the program at a low rate to maintain a stable service environment;
(c) Maintaining full responsibility for treatment services that includes, at a minimum, the services required in these rules;
(d) Twenty-four hour responsibility for covering psychiatric crises;
(e) Involvement in hospital admissions, including OSH and acute care psychiatric hospitals;
(f) Involvement in planning for hospital discharges, including OSH and acute care psychiatric hospitals; and
(g) As long as medically appropriate, time-unlimited services.

Source: Rule 309-019-0226 — Assertive Community Treatment (ACT) Overview, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-019-0226.

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 309-019-0226’s source at or​.us