(a) Remove barriers to accessing quality behavioral health crisis services;
(b) Improve equity in behavioral health treatment and ensure culturally, linguistically and developmentally appropriate responses to individuals experiencing behavioral health crises, in recognition that, historically, crisis response services placed marginalized communities at disproportionate risk of poor outcomes and criminal justice involvement;
(c) Ensure that all residents of this state receive a consistent and effective level of behavioral health crisis services no matter where they live, work or travel in the state; and
(d) Provide increased access to quality community behavioral health services to prevent interactions with the criminal justice system and prevent hospitalizations, if appropriate, by investing in:
(A) New technology for a crisis call center system to triage calls and link individuals to follow-up care;
(B) The expansion of mobile crisis intervention teams; and
(C) A wide array of crisis stabilization services, including services provided by:
(i) Crisis stabilization centers;
(ii) Facilities offering short-term respite services;
(iii) Peer respite centers;
(iv) Behavioral health urgent care walk-in centers; and
(v) A crisis hotline center to receive calls, texts and chats from individuals or other crisis hotlines to provide crisis intervention services and crisis care coordination anywhere in this state 24 hours per day, seven days per week, 365 days per year.
(2) The Oregon Health Authority shall adopt by rule requirements for crisis stabilization centers that, at a minimum, require a center to:
(a) Be designed to prevent or ameliorate a behavioral health crisis or reduce acute symptoms of mental illness or substance use disorder, for individuals who do not require inpatient treatment, by providing continuous 24-hour observation and supervision;
(b) Be staffed 24 hours per day, seven days per week, 365 days per year by a multidisciplinary team capable of meeting the needs of individuals in the community experiencing all levels of crisis, that may include, but is not limited to:
(A) Psychiatrists or psychiatric nurse practitioners;
(B) Nurses;
(C) Licensed or credentialed clinicians in the region where the crisis stabilization center is located who are capable of completing assessments; and
(D) Peers with lived experiences similar to the experiences of the individuals served by the center;
(c) Have a policy prohibiting rejecting patients brought in or referred by first responders, and have the capacity, at least 90 percent of the time, to accept all referrals;
(d) Have services to address substance use crisis issues;
(e) Have the capacity to assess physical health needs and provide needed care and a procedure for transferring an individual, if necessary, to a setting that can meet the individual’s physical health needs if the facility is unable to provide the level of care required;
(f) Offer walk-in and first responder drop-off options;
(g) Screen for suicide risk and complete comprehensive suicide risk assessments and planning when clinically indicated;
(h) Screen for violence risk and complete more comprehensive violence risk assessments and planning when clinically indicated; and
(i) Meet other requirements prescribed by the authority.
(3) The authority shall establish a crisis hotline center to receive calls, texts and chats from the 9-8-8 suicide prevention and behavioral health crisis hotline and to provide crisis intervention services and crisis care coordination anywhere in this state 24 hours per day, seven days per week. The crisis hotline center shall:
(a) Have an agreement to participate in the National Suicide Prevention Lifeline network.
(b) Meet National Suicide Prevention Lifeline requirements and best practices guidelines for operational and clinical standards and any additional clinical and operational standards prescribed by the authority.
(c) Record data, provide reports and participate in evaluations and related quality improvement activities.
(d) Establish formal agreements to collaborate with other agencies to ensure safe, integrated care for people in crisis who reach out to the 9-8-8 suicide prevention and behavioral health crisis hotline.
(e) Contact and coordinate with the local community mental health programs for rapid deployment of a local mobile crisis intervention team and follow-up services as needed.
(f) Utilize technologies, including chat and text applications, to provide a no-wrong-door approach for individuals seeking help from the crisis hotline and ensure collaboration among crisis and emergency response systems used throughout this state, such as 9-1-1 and 2-1-1, and with other centers in the National Suicide Prevention Lifeline network.
(g) Establish policies and train staff on serving high-risk and specialized populations, including but not limited to lesbian, gay, bisexual, transgender and queer youth, minorities, veterans and individuals who have served in the military, rural residents and individuals with co-occurring disorders. Policies and training established under this paragraph must include:
(A) Policies and training on transferring calls made to the 9-8-8 suicide prevention and behavioral health crisis hotline to an appropriate specialized center within or external to the National Suicide Prevention Lifeline network; and
(B) Training on providing linguistically and culturally competent care and follow-up services to individuals accessing the 9-8-8 suicide prevention and behavioral health crisis hotline consistent with guidance and policies established by the National Suicide Prevention Lifeline.
(4) The staff of the crisis hotline center described in subsection (3) of this section shall:
(a) Have access to the most recently reported information regarding available mental health and behavioral health crisis services.
(b) Track and maintain data regarding responses to calls, texts and chats to the 9-8-8 suicide prevention and behavioral health crisis hotline.
(c) Work to resolve crises with the least invasive intervention possible.
(d) Connect callers whose crisis is de-escalated or otherwise managed by hotline staff with appropriate follow-on services and undertake follow-up contact with the caller when appropriate.
(5) Crisis stabilization services provided to individuals accessing the 9-8-8 suicide prevention and behavioral health crisis hotline shall be reimbursed by the authority, coordinated care organizations or commercial insurance, depending on the individual’s insurance status.
(6) The authority shall adopt rules to allow appropriate information sharing and communication across all crisis service providers as necessary to carry out the requirements of this section and shall work in concert with the National Suicide Prevention Lifeline and the Veterans Crisis Line for the purposes of ensuring consistency of public messaging about 9-8-8 suicide prevention and behavioral health crisis hotline services. [2021 c.617 §2]
Note: See note under 430.626.
Structure 2021 Oregon Revised Statutes
Volume : 11 - Juvenile Code, Human Services
Chapter 430 - Mental and Behavioral Health Treatment; Developmental Disabilities
Section 430.010 - Definitions.
Section 430.050 - Mental Health Advisory Board; Disability Issues Advisory Committee; rules.
Section 430.071 - Policy to support and promote self-determination.
Section 430.073 - Consumer Advisory Council.
Section 430.140 - Federal grants for promoting mental health.
Section 430.197 - Mental Health Services Fund.
Section 430.205 - Definitions for ORS 430.205 and 430.210.
Section 430.210 - Rights of persons receiving mental health services.
Section 430.212 - Reconnection of family members to individual with developmental disability; rules.
Section 430.216 - Report to Legislative Assembly.
Section 430.220 - Director; appointment; powers and duties.
Section 430.221 - Commission members; terms; subcommittees.
Section 430.223 - Comprehensive addiction, prevention, treatment and recovery plan; rules.
Section 430.230 - Definitions.
Section 430.235 - Grant Review Committee; approval and distribution of grants.
Section 430.236 - Establishment of quality improvement subcommittee; statewide data tracking.
Section 430.243 - Grants to coordinated care organizations authorized.
Section 430.254 - Goal of treatment programs for persons with substance use disorders.
Section 430.262 - Registration of sobering facilities; fees prohibited.
Section 430.270 - Publicizing effects of alcohol and drugs.
Section 430.272 - Educational resources on risks of inhalant use.
Section 430.275 - Oregon Health Authority to provide funding for peer respite centers; rules.
Section 430.306 - Definitions.
Section 430.338 - Purposes of laws related to alcoholism.
Section 430.342 - Local planning committees; duties; members.
Section 430.347 - Definitions for ORS 430.345 to 430.380.
Section 430.350 - Assistance and recommendation of local planning committee.
Section 430.357 - Minimum standards; rules.
Section 430.358 - Opioid treatment center required to accept Medicare payments.
Section 430.359 - Funding of services.
Section 430.362 - Application requirements for priority consideration.
Section 430.364 - Consideration given requests for priority.
Section 430.366 - Requirements for service proposals and data reporting.
Section 430.368 - Appeal and review of funding requests; conclusiveness of review.
Section 430.370 - County contracts for services; joint county-city operation.
Section 430.380 - Mental Health Alcoholism and Drug Services Account; uses.
Section 430.383 - Findings and policy.
Section 430.384 - Drug Treatment and Recovery Services Fund established.
Section 430.386 - Moneys in fund not to replace current funding for programs and services.
Section 430.387 - Distribution of moneys in fund.
Section 430.388 - Oversight and Accountability Council.
Section 430.390 - Administration of grants; rules.
Section 430.391 - Behavioral Health Resource Network statewide telephone hotline.
Section 430.393 - Report to Legislative Assembly.
Section 430.397 - Voluntary admission of person to treatment facility; notice to parent or guardian.
Section 430.420 - Integration of drug treatment services into criminal justice system; plans.
Section 430.422 - Drug Prevention and Education Fund.
Section 430.424 - Distribution of funds; funding criteria.
Section 430.426 - Rules; acceptance of gifts, grants and donations.
Section 430.450 - Definitions for ORS 430.450 to 430.555.
Section 430.455 - Information to arrested person believed to have substance use disorder.
Section 430.470 - Notice of right to evaluation if not given at time of arrest.
Section 430.490 - Diversion plan for defendant; participation as condition of probation or parole.
Section 430.495 - Content of diversion plan; duration.
Section 430.500 - Dismissal of charges.
Section 430.535 - Requirement to develop bilingual forms.
Section 430.540 - Designation of and standards for evaluation sites.
Section 430.545 - Procedures at evaluation sites; administration of antagonist drugs.
Section 430.572 - Internet access to providers of opiate use disorder treatment.
Section 430.573 - Statewide capacity to provide opiate use disorder treatment.
Section 430.590 - Regulation of location of methadone clinic; enforcement.
Section 430.610 - Legislative policy.
Section 430.626 - Definitions.
Section 430.627 - Statewide coordinated crisis system; rules.
Section 430.629 - Planning and ongoing oversight of services.
Section 430.631 - Local advisory committees.
Section 430.634 - Evaluation of programs; population schedule for distributing funds.
Section 430.638 - Immunity from civil liability for reliance on certificate of approval.
Section 430.641 - Behavioral Health Housing Incentive Fund established.
Section 430.643 - Disbursement of moneys in fund.
Section 430.644 - Priorities for services provided by community mental health programs.
Section 430.646 - Priorities for services for persons with mental or emotional disturbances.
Section 430.648 - Funding distribution formula; matching funds; administrative expenses.
Section 430.651 - Use of population data in funding formula.
Section 430.673 - Mediation; retaliation prohibited; action for damages; attorney fees; rules.
Section 430.705 - Mental health services for children.
Section 430.708 - Priority for preventive services for children.
Section 430.731 - Uniform investigation procedures; rules.
Section 430.735 - Definitions for ORS 430.735 to 430.765.
Section 430.737 - Mandatory reports and investigations.
Section 430.738 - Privileges not applicable to abuse proceedings.
Section 430.739 - County multidisciplinary teams; protocols; reports.
Section 430.745 - Investigation of abuse; notice to medical examiners; findings; recommendations.
Section 430.746 - Training requirements for persons investigating reports of alleged abuse.
Section 430.747 - Photographs of victim during investigation; exception; photographs as records.
Section 430.753 - Immunity of persons making reports in good faith; confidentiality.
Section 430.755 - Retaliation prohibited; liability for retaliation.
Section 430.756 - Immunity of employer reporting abuse by employee.
Section 430.757 - Reports of abuse to be maintained by Department of Human Services.
Section 430.763 - Confidentiality of records; when record may be made available to agency.
Section 430.768 - Claims of self-defense addressed in certain reports of abuse; review teams; rules.
Section 430.850 - Treatment program; eligibility.
Section 430.860 - Participation in program; report to court.
Section 430.880 - Gifts, grants or services.
Section 430.955 - Standardized screening instrument; assessing drug use during pregnancy.