OAR 309-033-0710
Definitions
(1)
“Administrator” means the chief of psychiatric services in a community hospital or the person in charge of treatment and rehabilitation programs in a nonhospital facility. “Administrator” has the same meaning as “director of the facility” as that term is defined in ORS 426.005 (Definitions for ORS 426.005 to 426.390)(1)(a). Whenever “administrator” appears it means the administrator or his or her designee.(2)
“Authority” means the Oregon Health Authority (OHA).(3)
“Certificate” means the document or documents issued by the Division, which identifies and declares certification of a provider pursuant to OAR 309-008-0100 (Purpose and Scope) to 309-008-1600 (Variance). A letter accompanying issuance of the certificate will detail the scope and approved service delivery locations of the certificate.(4)
“Clinical Record” means the record required by OAR 309-014-0035 (Delivery of CMHP Service Elements), General Standards for Delivery of Community Mental Health Service Elements, documenting the mental health services delivered to clients by a CMHP or subcontractor.(5)
“Community Mental Health Program” (CMHP) the entity responsible for organization of various services for persons with a mental health diagnosis or addictive disorders, operated by, or contractually affiliated with, a local mental health authority and operated in a specific geographic area of the state under an agreement with the Division pursuant to OAR 309-014-0000 (Purpose and Statutory Authority)(6)
“Community Hospital” means any hospital that is not a state hospital.(7)
“Council” means a regional acute care psychiatric facility organization with a mission statement and bylaws, comprised of facility representatives, consumers and family members. The council is advisory to the facility.(8)
“Court” means the circuit court acting pursuant to ORS Chapter 426 (Persons With Mental Illness).(9)
“Custody” means the prehearing physical retaining of a person taken into custody by:(a)
A peace officer pursuant to ORS 426.070 (Initiation), 426.228 (Custody), 426.233 (Authority of community mental health program director and of other individuals)(1);(b)
A health care facility licensed under ORS Chapter 431 (State and Local Administration and Enforcement of Public Health Laws) and certified by the Division, pursuant to 426.231 (Hold by licensed independent practitioner);(c)
A state hospital pursuant to ORS 426.232 (Emergency admission);(d)
A community hospital pursuant to ORS 426.072 (Care while in custody) or 426.232 (Emergency admission); or(e)
A regional acute care psychiatric or non-hospital facility pursuant to ORS 426.072 (Care while in custody) or 426.233 (Authority of community mental health program director and of other individuals).(10)
“Director” means the community mental health program director who has been authorized by the local mental health authority to direct the CMHP.(11)
“Diversion” means the 14 day period of intensive treatment when a director and a psychiatrist certify a person as a mentally ill person pursuant to the provision of ORS 426.237 (Prehearing detention)(1)(b).(12)
“Division” means the Health Systems Division of the Oregon Health Authority (OHA).(13)
“Emergency” means, in the opinion of the treating physician, immediate action is required to preserve the life or physical health of a person, or because the behaviors of that person creates a substantial likelihood of immediate physical harm to self, or to others in the facility. The fact that a person is in custody under the provisions or ORS 426.072 (Care while in custody), 426.232 (Emergency admission) or 426.233 (Authority of community mental health program director and of other individuals) must not be the sole justification that an emergency exists.(14)
“Hospital or Facility” means the community hospital, regional acute care psychiatric facility, or non-hospital facility eligible for, or presently certified for, the use of seclusion or restraints to committed persons and persons in custody or on diversion.(15)
“NMI” means “Notice of Mental Illness” required, pursuant to ORS 426.070 (Initiation), to be submitted by any two persons, a county health officer or a magistrate to the director and thereafter submitted by the director to the court or, pursuant to 426.234 (Duties of professionals at facility where person admitted), to be submitted by the physician or the director to the court. Pursuant to 426.070 (Initiation) and 426.234 (Duties of professionals at facility where person admitted), the court commences proceedings pursuant to 426.070 (Initiation) to 426.130 (Court determination of mental illness) upon receipt of the NMI.(16)
“Non-Hospital Facility” means any facility, other than a hospital, that is certified by the Authority to provide adequate security, psychiatric, nursing and other services to persons under ORS 426.232 (Emergency admission) or 426.233 (Authority of community mental health program director and of other individuals).(17)
“Nurse” means a registered nurse or a psychiatric nurse practitioner licensed by the Oregon Board of Nursing, but does not include a licensed practical nurse or a certified nurse assistant.(18)
“P.R.N.” (pro re nata) means that a medication or medical treatment has been ordered to be given as needed.(19)
“Patient Days” means the day of admission plus each additional day of stay, but not the day of discharge, unless it is also the day of admission.(20)
“Peace officer” means a sheriff, constable, marshal, municipal policeman, member of the Oregon State Police or investigator of the Criminal Justice Division of the Department of Justice and such other persons as may be designated by law.(21)
“Physician” means a person who holds a degree of Doctor of Medicine, Doctor of Osteopathy, or Doctor of Podiatric Medicine, if the context in which the term “physician” is used does not authorize or require the person to practice outside the scope of a license issued under ORS 677.805 (“Ankle” defined for ORS 677.805 to 677.840) through 677.840 (Fees).(22)
“Physician Assistant” means a person who is licensed as such in accordance with ORS 677.265 (Powers of board generally), 677.495 (Definitions for ORS 677.495 to 677.535), 677.505 (Application of provisions governing physician assistants to other health professions), 677.510 (Board approval of using services of physician assistant), 677.515 (Medical services provided by physician assistant), 677.520 (Performance of medical services by unlicensed physician assistant prohibited), and 677.525 (Fees).(23)
“Psychiatrist” means a physician licensed as provided pursuant to ORS 677.010 (Definitions for chapter) to 677.450 (Release of certain information to health care facilities) by the Board of Medical Examiners for the State of Oregon and who has completed an approved residency training program in psychiatry.(24)
“Regional Acute Care Psychiatric Facility” means a facility certified by the Division to provide services for adults as described in OAR 309-033-0850 through 309-033-0890, and is operated in cooperation with a regional or local council. A regional acute care psychiatric facility must include 24 hour per day psychiatric, multi-disciplinary, inpatient or residential stabilization, care and treatment, for adults aged 18 or older with severe psychiatric disabilities in a designated region of the state. For the purpose of these rules, a state hospital is not a regional acute care psychiatric service. The goal of a regional acute care service is the stabilization, control and/or amelioration of acute dysfunctional symptoms or behaviors that result in the earliest possible return of the person to a less restrictive environment.(25)
“Restraint” means any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely. Restraint may be used only for the management of violent or self-destructive behavior that jeopardizes the immediate physical safety of the patient, a staff member, or others.(26)
“Seclusion” is the involuntary confinement of a patient alone in a room or area, from which the patient is physically prevented leaving. Seclusion may be used only for the management of violent or self-destructive behavior that jeopardizes the immediate physical safety of the patient, a staff member, or others.(27)
“State Hospital” means each campus of the Oregon State Hospital.
Source:
Rule 309-033-0710 — Definitions, https://secure.sos.state.or.us/oard/view.action?ruleNumber=309-033-0710.