Oregon Department of Human Services Rule Rule 407-045-0130 Adult Mental Health Abuse Rules: Definitions and Acronyms In addition to the definitions in ORS 430.735 (Definitions for ORS 430.735 to 430.765), the following terms are defined as used in OAR 407-045-0120 (Adult Mental Health Abuse Rules: Purpose and Scope) to 407-045-0240 (Adult Mental Health Abuse Rules: County Multidisciplinary Teams). (1) “Abuse” means as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765). (2) “Abuse Investigation and Protective Services Report” means a written report completed under these rules (OAR 407-045-0120 (Adult Mental Health Abuse Rules: Purpose and Scope) to 407-045-0240 (Adult Mental Health Abuse Rules: County Multidisciplinary Teams)). (3) “Adult” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) and used in OAR 407-045-0120 (Adult Mental Health Abuse Rules: Purpose and Scope) to 407-045-0240 (Adult Mental Health Abuse Rules: County Multidisciplinary Teams) means an individual who is 18 years of age or older: (a) With a severe and persistent mental illness and is receiving mental health treatment from a community program; or (b) Who is receiving services for a mental illness in a facility; and (c) Is the reported or alleged victim of abuse. (4) “Adult protective services” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) means the necessary actions taken to prevent abuse or exploitation of an adult, to prevent self-destructive acts, and to safeguard the adult’s person, property, or funds, including petitioning for a protective order as defined in ORS 125.005 (Definitions). Any actions taken to protect an adult shall be undertaken in a manner that is least intrusive to the adult and provides for the greatest degree of independence. (5) “Accused Person” or “Accused Provider” (AP formerly known as “Alleged Perpetrator”) means a person, caregiver, facility or service provider who is the respondent in an abuse investigation under these rules, alleged or determined to have committed abuse of an adult. (6) “Authority” means the Oregon Health Authority (OHA). (7) “Caregiver” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) means an individual, whether paid or unpaid, or a facility that has assumed responsibility for all or a portion of the care of an adult as a result of a contract or agreement. (8) “Closed without abuse determination” means after diligent efforts have been made, the investigator is unable to locate the AP, the alleged victim or another individual who might have information critical to the outcome of the investigation; or relevant records or documents are unavailable, so that the investigation cannot be completed. (9) “Community program” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) includes: (a) A community mental health program (CMHP) or a community developmental disabilities program (CDDP) as established in ORS 430.610 (Legislative policy) to 430.695 (Treatment of certain receipts as offsets to state funds). (b) A provider that is paid directly or indirectly by the Oregon Health Authority to provide mental health treatment in the community. (10) “Designee” means the community mental health or developmental disabilities program. A community mental health program is considered a designee of the Department for the purposes of these rules and ORS 430.731 (Uniform investigation procedures) to 430.765 (Duty of officials to report abuse). (11) “Department” means the Department of Human Services (DHS). (12) “Exception for religious practice” as described in ORS 430.765 (Duty of officials to report abuse) means an adult who in good faith is voluntarily under treatment solely by spiritual means through prayer in accordance with the tenets and practices of a recognized church or religious denomination by a duly accredited practitioner shall for this reason alone not be considered subjected to abuse under ORS 430.735 (Definitions for ORS 430.735 to 430.765) to 430.765 (Duty of officials to report abuse). (13) “Facility” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) means a residential treatment home or facility, residential care facility, adult foster home, residential training home or facility or crisis respite facility. (14) “Good cause” for an extension means: (a) When law enforcement is conducting an investigation or in process of prosecution; (b) A material party or witness is temporarily unavailable; or (c) New evidence is discovered that leads to additional alleged abuses being investigated (allegations). (15) “Intimidation” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) means compelling or deterring conduct by threat. (16) “Investigator” means an OTIS employee or community mental health program designee who is authorized and receives OTIS approved training to screen complaints of abuse, assess protective services and investigate alleged abuse (allegations) under these rules. (17) “Law enforcement agency” (LEA) as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) means: (a) Any city or municipal police department; (b) A police department established by a university under ORS 352.121 (University police departments and officers) or 353.125 (Creation of police department and commission of police officers); (c) Any county sheriff’s office; (d) The Oregon State Police; or (e) Any district attorney (18) “Not substantiated” means there is less than a preponderance of evidence to show that abuse occurred. (19) “OTIS” means the Department’s Office of Training, Investigations and Safety, formerly known as “OAAPI” (Office of Adult Abuse Prevention and Investigations). (20) “Provider” means a person or entity: (a) Licensed by the Department or Authority to provide residential services for mental illness in a facility; or (b) Certified by or contracted with the Authority to provide mental health treatment services. (21) “Redacted” means information deemed confidential under state or federal laws that are excluded from public record release. (22) “Self-defense” as defined on ORS 430.768 (Claims of self-defense addressed in certain reports of abuse) and used in OAR 407-045-0200 (Adult Mental Health Abuse Rules: Abuse Investigation Report), means the use of physical force upon another person in self-defense or to defend a third person. (23) “Services” as defined in ORS 430.735 (Definitions for ORS 430.735 to 430.765) includes but is not limited to the provision of food, clothing, medicine, housing, medical services, assistance with bathing or personal hygiene, or any other services essential to the well-being of the adult. (24) “Severe and persistent mental illness” or “SPMI” (also known as serious and persistent mental illness) means the current Diagnostic Statistical Manual of Mental Disorders diagnostic criteria for: (a) At least one of the following conditions as a primary diagnosis for an adult age 18 or older: (A) Schizophrenia and other psychotic disorders; (B) Major depressive disorder; (C) Bipolar disorder; (D) Anxiety disorders, limited to Obsessive Compulsive Disorder (OCD) and Post Traumatic Stress Disorder (PTSD); (E) Schizotypal personality disorder; or (F) Borderline personality disorder. (b) For purpose of mandatory abuse reporting of an adult with SPMI and ORS 430.765 (Duty of officials to report abuse), the adult with SPMI shall also have a serious functional impairment that currently substantially interferes with or limits their ability to protect themselves from abuse as documented by their health record or other credible evidence. These additional requirements do not apply to other chapters of the Oregon Administrative Rules that address persons with SPMI in Chapters 410 and 309. (25) “State Hospital” as described in ORS 426.010 (State hospitals for persons with mental illness) means the Oregon State Hospital campuses in Salem and in Junction City for persons with mental illness for care and treatment. (26) “Substantiated” means that the preponderance of evidence establishes the abuse occurred. (27) “Unbiased investigation” means an investigation that is conducted by an investigator that does not have an actual or potential conflict of interest with the outcome.