OAR 309-019-0245
ACT Admission Criteria

(1) Participants shall meet the medically appropriate standard as designated in OAR 309-019-0105 (Definitions). Participants who are medically appropriate shall have the following characteristics:
(a) Participants diagnosed with serious and persistent mental illness, as defined in this rule;
(b) Individuals with a primary diagnosis of a substance use disorder or intellectual developmental disabilities or borderline personality disorder or traumatic brain injury or an autism spectrum disorder are not the intended recipients of ACT and may not be referred to ACT if they do not have a co-occurring, qualifying psychiatric disorder;
(c) Participants with other psychiatric illnesses are eligible dependent on the level of the long-term disability;
(d) Participants with significant functional impairments as demonstrated by at least one of the following conditions:
(A) Significant difficulty consistently performing the range of practical daily living tasks required for basic adult functioning in the community (e.g., caring for personal business affairs; obtaining medical, legal, and housing services; recognizing and avoiding common dangers or hazards to self and possessions; meeting nutritional needs; maintaining personal hygiene) or persistent or recurrent difficulty performing daily living tasks except with significant support or assistance from others such as friends, family, or relatives;
(B) Significant difficulty maintaining consistent employment at a self-sustaining level or significant difficulty consistently carrying out the homemaker role (e.g., household meal preparation, washing clothes, budgeting, or child-care tasks and responsibilities);
(C) Significant difficulty maintaining a safe living situation (e.g., repeated evictions or loss of housing).
(e) Participants with one or more of the following problems, which are indicators of continuous high service needs (e.g., greater than eight hours per month):
(A) High use of acute care psychiatric hospitals or emergency departments for psychiatric reasons, including psychiatric emergency services as defined in OAR 309-023-0110 (Definitions) (e.g., two or more readmissions in a six month period);
(B) Intractable (e.g., persistent or very recurrent) severe major symptoms, affective, psychotic, suicidal);
(C) Coexisting substance abuse disorder of significant duration (e.g., greater than six months);
(D) High risk or recent history of criminal justice involvement (e.g., arrest, incarceration);
(E) Significant difficulty meeting basic survival needs, residing in substandard housing, homelessness, or imminent risk of becoming homeless;
(F) Residing in an inpatient or supervised community residence in the community where ACT services are available, but clinically assessed to be able to live in a more independent living situation if intensive services are provided or requiring a residential or institutional placement if more intensive services are not available;
(G) Difficulty effectively utilizing traditional office-based outpatient services.
(2) The ACT program provides community-based, long-term or time-unlimited services and is not intended to be in and of itself a transitional program.

Source: Rule 309-019-0245 — ACT Admission Criteria, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=309-019-0245.

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 309-019-0245’s source at or​.us