OAR 309-021-0180: Proactive Phone Support and In-person Crisis Response

(1) IIBHT shall include 24/7/365 support for youth/young adults and their families in the event of a behavioral health crisis. (a) Crisis support shall be available as outlined in the youth/young adult’s individualized Crisis and Safety Plan to provide proactive support and use of skills to deescalate crises (b) Support shall be available by phone at a minimum, and many crises may be managed proactively by phone. When appropriate and requested by the youth/young adult and/or family, support will be offered in person. (2) IIBHT proactive phone support and in-person crisis response shall include the provision and documentation of the following: (a) IIBHT providers shall maintain a policy outlining their procedure that insures youth/young adults and their families enrolled in IIBHT are able to access 24/7/365 proactive phone support and in-person crisis response. (b) IIBHT providers that are unable to provide 24/7/365 in person crisis response shall establish a Memo of Understanding (MOU) with their local Mobile Crisis Intervention team to provide crisis response to IIBHT-enrolled youth/young adults and their families between the hours of midnight and 7am. (c) IIBHT providers must ensure that any staff covering the proactive phone support and/or in-person crisis response for IIBHT meets the following requirements: (A) Staff must be trained in crisis intervention, suicide screening and de-escalation; and (B) Staff must have access to a QMHP who can provide clinical support and consultation; and (C) Staff must have access to the youth/young adult’s most up to date crisis and safety plan (d) All crisis responses must be clearly documented in the youth/young adult’s service record. Documentation must include the following: (A) A description of the incident; (B) A description of the interventions used; (C) A summary of the debrief with the child and family; and (D) Any recommendations for updates to the Crisis and Safety Plan and/or the Service Plan, and a timeframe for the next team meeting.