OAR 309-023-0170: Staff Training

(1) The facility shall have policies and procedures for ongoing educational programs to instruct staff regarding best practices in psychiatric emergency services. (2) A staff training curriculum shall include, but is not limited to: (a) Criteria for the admission of an individual who can safely be served by the facility; (b) Recognition of indicators of violence to self or others, or assault and criteria for the transfer of the individual to or from the facility; (c) Indicators of medical problems, identification of medication side effects, and indicators of medical problems and medical crisis; (d) Management of aggressive behavior and de-escalation techniques; (e) Trauma Informed care in accord with the Authority’s Trauma Informed Policy at https://www.oregon.gov/oha/amh/pages/trauma.aspx; (f) Practices to provide psychoeducation and post-discharge safety to patients and families; (g) Best practice treatment for substance use disorders (h) Staff training in best practices for: (A) Lethal means counseling which may include the CALM (http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means) or similar curriculum; (B) Collaboration with patients on development of safety plans which may include guidelines established by the Suicide Prevention Resource Center, http://www.sprc.org/sites/default/files/SafetyPlanningGuide%20Quick%20Guide%20for%20Clinicians.pdf; and (C) Risk assessment. (3) At a minimum, staff training shall be provided at time of hire and required annually, or more often if necessary.