Or. Admin. R. 309-018-0145

Current through Register Vol. 63, No. 5, May 1, 2024

Section 309-018-0145 - [Effective 10/27/2024] Service Plan and Service Notes

(1) The Service Plan shall be a written, individualized plan to improve the individual's condition to the point where the individual's continued participation in the program or level of care is no longer necessary. The Service Plan is included in the individual's service record and shall:

(a) Be started prior to the rendering of services;

(b) Reflect the assessment;

(c) Address areas of concern identified in the assessment that the individual agrees to address;

(d) When applicable, document the ASAM Level of Care placement. When there is a discrepancy, document the individual's preferred ASAM Level of Care placement;

(e) Include a safety plan when the assessment indicates risk to the health and safety of the individual or to others and be updated as circumstances change. The safety plan may be a separate document from the Service Plan;

(f) Include the participation of the individual and family members as applicable; and

(g) Be completed and signed by qualified program staff as follows:

(A) Supervisory or treatment staff in substance use disorders treatment and recovery programs; and

(B) Supervisory or treatment staff in problem gambling treatment and recovery programs.

(2) At minimum, each service plan shall include:

(a) Treatment objectives that are:

(A) Individualized to meet the assessed needs of the individual; and

(B) Measurable for the purpose of evaluating individual progress, including a baseline evaluation.

(b) The specific services and supports that shall be used to meet the treatment objectives;

(c) The expected frequency of each type of planned service or support; and

(d) A schedule for re-evaluating the service plan.

(3) Providers shall document each service and support in a service note to include:

(a) The specific services rendered;

(b) The specific service plan objectives being addressed by the services provided;

(c) The date, time of service, and the actual amount of time the services were rendered;

(d) The personnel rendering the services, including the name, credentials and signature;

(e) The setting in which the services were rendered; and

(f) Periodic updates describing the individual's progress.

Or. Admin. R. 309-018-0145

MHS 10-2013(Temp), f. 8-8-13, cert. ef. 8-9-13 thru 2-5-14; MHS 3-2014, f. & cert. ef. 2-3-14; 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 10-2023, amend filed 04/07/2023, effective 4/7/2023; BHS 8-2024, temporary amend filed 04/30/2024, effective 5/1/2024 through 10/27/2024

Statutory/Other Authority: ORS 413.042, 428.205 - 428.270, 430.640 & 443.450

Statutes/Other Implemented: ORS 430.010, 430.205 - 430.210, 430.254 - 430.640, 430.850 - 430.955, 443.400 - 443.460, 443.991, 461.549 & 743A.168