Or. Admin. Code § 309-019-0226

Current through Register Vol. 64, No. 1, January 1, 2025

Section 309-019-0226 - [Effective 6/29/2025] Assertive Community Treatment (ACT) Overview

(1) The ACT Model is an evidence-based practice for individuals with SPMI and is Community Based, ACT is characterized by:

(a) Using a team approach;

(b) A small client to staff caseload, to consistently provide necessary staffing diversity and coverage;

(c) Time-unlimited services;

(d) Flexible service delivery;

(e) A fixed point of responsibility; and

(f) 24/7 Crisis Coverage.

(2) ACT services shall include but are not limited to:

(a) Hospital discharge planning, including OSH and all other 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) Supported Employment services that includes Vocational Services. If there is a certified Individual Placement Support (IPS) Employment Services per OAR 309-019-0270 through 0295 within the agency, this shall be the Employment service provided to ACT participants; if there is not, the ACT Program will in good faith attempt to collaborate with a local IPS program or offer an alternative Supportive Employment.

(h) Life skills training; and

(i) Peer delivered services.

(3) ACT programs that uphold the ACT fidelity standards are compromised of the following core staff members:

(a) Psychiatrist or Psychiatric Nurse Practitioner;

(b) Psychiatric Nurse;

(c) Qualified Mental Health Professional (QMHP) ACT Team Supervisor;

(d) Substance Use Specialist;

(e) Employment Specialist:

(f) The following staff are optional staff that may assist a program to reach staff capacity requirements:

(A) Mental Health Case Manager; and

(B) Certified Peer Support Specialist.

(4) ACT Programs must adhere to the following:

(a) Providing explicit admission criteria that aligns with Oregon Administrative Rules (OAR) with the SPMI Eligibility defined in 309-019- 0225 (27) utilizing the Universal Referral Form provided by the Division;

(b) The admission process and Universal Referral Form must be published for any public person(s) and/or community partners to freely access on program websites to ensure equitable access for all community members.

(c) Provide a space for group therapy and/or skill building workshops for participants per the fidelity standard requirements.

Or. Admin. Code § 309-019-0226

MHS 26-2016(Temp), f. 12-27-16, cert. ef. 12-28-16 thru 6-23-17; MHS 1-2017(Temp), f. 1-17-17, cert. ef. 1-18-17 thru 7-16-17; 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 44-2023, amend filed 12/22/2023, effective 1/1/2024; BHS 32-2024, temporary amend filed 12/27/2024, effective 1/1/2025 through 6/29/2025

Statutory/Other Authority: ORS 161.390, 413.042, 430.256 & 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