OAR 309-035-0217: Crisis Respite Services

Licensed programs provide crisis respite services must be in compliance with all prescribed standards of these rules except as provided in the following. (1) When providing crisis respite services, a program: (a) Is not required to enter into a legally enforceable residency agreement with a resident receiving crisis respite services; (b) May not seek an individually-based limitation for a resident receiving crisis respite services; (c) May accept a resident for admission without the most recent mental health assessment except for a summary of current mental health treatment; (d) Must establish a resident service record within 24 hours of a crisis respite services admission; (e) An amended or abbreviated screening process may be used to more quickly meet the needs of the prospective resident to receive crisis respite services. Screening and admission information obtained may be less comprehensive than for regular admissions but must be sufficient to determine that the prospective resident meets admission criteria and that the setting and program is appropriate considering the prospective resident's needs. The program must document the reasons for incomplete information on an individual basis; and (f) Is not required to hold a pre-transfer meeting with a resident receiving crisis respite services; (2) The planned end of crisis respite services may not be considered a transfer or discharge of residency and subject to requirements in OAR 309-035-0170(2)(4)(5). Upon admission to crisis respite services, the resident or the resident’s legal representative, if applicable, must be informed of the planned date for discontinuation of services. This date may be extended through a Division-approved variance and a mutual agreement between the program administrator and the resident or the resident’s legal representative; (3) An assessment and residential service plan must be developed within 48 hours of admission that identifies service needs, desired outcomes, and the service strategies to be implemented to resolve the crisis or address other needs of the resident that resulted in the short-term service arrangement; (4) The program is not required to develop a person-centered service plan for a resident receiving crisis respite services. At a minimum, the provider must develop an assessment and residential service plan as deemed appropriate to identify service needs, desired outcomes, and service strategies to resolve the crisis or address the resident’s other needs that caused the need for crisis respite services. The provider must provide relevant information and provide necessary support for the person-centered service plan coordinator; (5) For emergency admissions including crisis respite admissions, the health screening must be obtained as follows: (a) For residents experiencing psychiatric or medical distress, a health screening must be completed by an LMP prior to the resident's admission or within 24 hours of the emergency placement. The health screening must confirm that the resident does not have health conditions requiring continuous nursing care, hospital level of care, or immediate medical assistance. For each crisis respite services resident who continues in the program for more than seven consecutive days, a complete health examination must be arranged if any symptoms of a health concern exist; (b) For other residents who are admitted on an urgent basis due to a lack of alternative supportive housing, the health screening must be obtained within 72 hours after the resident's admission; (c) For residents admitted for crisis respite services who are under the active care of an LMP, a health screening must confirm that the resident does not have health conditions requiring continuous nursing care, hospital level of care, or immediate medical assistance. For each crisis respite resident who continues in the program for more than seven consecutive days, a complete health examination must be arranged if any symptoms of a health concern exist; and (d) Programs are not required to ensure that a resident receiving crisis respite services are under the care of a primary physician.