Or. Admin. R. 309-019-0185

Current through Register Vol. 63, No. 8, August 1, 2024

Section 309-019-0185 - Outpatient Substance Use Disorders Treatment and Recovery Programs

(1) Programs approved to provide outpatient substance use disorders treatment services shall meet the following standards:

(a) Programs shall ensure documentation at the time of entry contains an evaluation that identifies and assesses needs such as social isolation, self-reliance, parenting issues, domestic violence, physical health, housing, and financial considerations;

(b) Programs shall ensure the service plan addresses all areas of concern identified in the assessment that the individual agrees to address, and applicable service coordination details to address the identified needs;

(c) The program shall provide or coordinate services and supports that meet special access needs such as childcare, mental health services, and transportation; and

(d) The program shall provide or coordinate the following services and supports that the individual agrees to address:

(A) Gender-specific services and supports;

(B) Family services, including therapeutic services for children in the custody of women in treatment;

(C) Reintegration with family or community;

(D) Peer delivered services;

(E) Smoking cessation;

(F) Housing;

(G) Transportation; and

(H) Housing and Employment support services for those who qualify under OAR 309-0190-0105.

(2) Services shall include the participation of family and other agencies as appropriate, such as social service, child welfare, or corrections agencies.

(3) The program shall coordinate referral services with the following:

(a) Agencies providing services to individuals who have experienced physical abuse, sexual abuse, or other types of domestic violence;

(b) Parenting training;

(c) Continuing care treatment services shall be consistent with The ASAM Criteria and shall include referrals to support groups where available.

(4) Programs that receive SUPTR block grant funding shall provide or coordinate the following services for individuals:

(a) Primary medical care, including referral for prenatal care if applicable, and childcare and transportation where needed;

(b) Primary pediatric care, including immunizations for their children;

(c) Gender specific substance use disorders treatment and other therapeutic interventions that may include but are not limited to:

(A) Relationship issues;

(B) Sexual and physical abuse;

(C) Parenting;

(D) Access to childcare and transportation while receiving these services; and

(E) Therapeutic interventions for children in the custody of women or men in treatment that may include but are not limited to:

(i) Their developmental needs;

(ii) Any issues concerning sexual and physical abuse and neglect; and

(iii) Sufficient case management and transportation to ensure that individuals and their children have access to services.

(5) Providers that deliver adolescent substance use disorders treatment services or those with adolescent-designated service funding shall meet the following standards:

(a) Development of service plans and case management services shall include participation of parents, other family members, schools, children's services agencies, and juvenile corrections;

(b) Services or appropriate referrals shall include:

(A) Family counseling;

(B) Community and social skills training; and

(C) Smoking cessation service.

(6) Continuing care services shall be of appropriate duration and designed to maximize recovery opportunities. The services shall include:

(a) Reintegration services and coordination with family and schools;

(b) Adolescent self-help groups where available;

(c) Referral to emancipation services when appropriate;

(d) Referral to physical or sexual abuse counseling and support services when appropriate; and

(e) Referral for peer delivered services.

Or. Admin. R. 309-019-0185

MHS 6-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 4-2014, f. & cert. ef. 2-3-14; MHS 26-2016(Temp), f. 12-27-16, cert. ef. 12-28-16 thru 6-23-17; MHS 6-2017, f. & cert. ef. 6/23/2017; MHS 10-2017(Temp), f. 9-15-17, cert. ef. 9-15-17 thru 3-13-18; MHS 4-2018, amend filed 02/27/2018, effective 3/1/2018; BHS 1-2022, amend filed 01/05/2022, effective 1/5/2022; BHS 11-2023, amend filed 04/07/2023, effective 4/7/2023

Statutory/Other Authority: ORS 161.390, 413.042 & 430.640

Statutes/Other Implemented: ORS 161.390 - 161.400, 428.205 - 428.270, 430.010, 430.205 - 430.210, 430.254- 430.640, 430.850 - 430.955 & 743A.168