Or. Admin. R. 309-072-0150

Current through Register Vol. 63, No. 6, June 1, 2024

Section 309-072-0150 - Initial crisis response

Mobile Crisis Intervention Services (MCIS) must meet the needs of each individual and must consider developmental, cultural, and linguistic needs.

(1) Upon arrival, the Mobile Crisis Intervention Team (MCIT) must follow their established procedures to ensure safety at the service location for all parties and must continue to monitor safety.

(2) All crisis interventions and services offered and provided must be documented.

(3) The MCIT must attempt to complete a developmentally appropriate suicide screening at every contact:

(a) When unable to complete the suicide screening the reason must be clearly documented;

(b) If the suicide screening tool indicates risk, then the following must occur and be documented:

(A) A full suicide risk assessment must be completed by a Qualified Mental Health Professional (QMHP);

(B) A crisis and safety plan which includes lethal means counseling.

(4) The MCIT must provide the following services and supports, as clinically indicated:

(a) Crisis intervention and de-escalation;

(b) Screening for risk of harm to self and others;

(c) SUD screening;

(d) Assessment;

(e) Crisis and safety planning; and

(f) Care coordination.

(5) The MCIT must identify and refer all individuals to appropriate services and supports to meet their needs.

(6) If the individual has established medical or behavioral health services the MCIT must attempt to coordinate care with the individual's established provider. When unable to coordinate care with the established provider the MCIT must document the reason.

(7) If the Qualified Mental Health Professional (QMHP) determines that the individual requires a psychiatric evaluation and a director's custody hold is required, the QMHP must initiate the appropriate steps to transport the individual to the evaluation per OAR 309-033-0230 (2)(b).

(8) The provider must work collaboratively with individuals and families to ensure connection to follow-up services and supports.

(9) The provider must attempt to follow-up with the individual and families within 72 hours after the initial contact.

Or. Admin. R. 309-072-0150

BHS 26-2022, adopt filed 12/20/2022, effective 1/1/2023

Statutory/Other Authority: ORS 179.040, 413.042, 413.032-413.033, 426.072, 426.236, 426.500, 430.021, 430.256, 430.357, 430.560, 430.626-430.630, 430.640, 430.870 & 743A.168

Statutes/Other Implemented: ORS 413.520, 426.060, 426.140, 430.010, 430.254, 430.335, 430.590, 430.620, 430.626-430.630 & 430.637