OAR 333-600-0020: Principles

(1) Chemical dependency service systems should provide a continuum of care which gradually increases demands for personal responsibility. (2) Chemical dependency services systems should allow entry at any point in the treatment continuum based on individual need. (3) All levels of chemical dependency treatment should be readily available for use with no person remaining too long at one level because of the lack of services at the next level. (4) The chemical dependency service system should be designed to allow people to remain in less intensive treatment modes longer than in the initial, more intensive modes. (5) Chemical dependency services should be delivered in the least expensive, least restrictive setting required to produce the desired results. (6) Chemical dependency services systems should provide a variety of treatment approaches to meet any given level of need. (7) Quick geographical access is considered essential for outpatient care, detoxification care and day treatment. If 90 percent of the chemically-dependent persons in the proposed service area who need to use a specific non-24-hour treatment program such as outpatient, day treatment, or detoxification are more than 35 miles by road from existing programs of the type that is needed, then more treatment capacity may be needed in a location accessible to the population. (8) Quick geographical access is not considered essential for inpatient hospital care or other types of 24-hour treatment programs. If 90 percent of the chemically-dependent persons in the proposed service area who need to use a specific 24-hour treatment program such as inpatient hospital, residential treatment, rehabilitation, or residential maintenance care are more than 75 miles by road from existing programs of the type that is needed, then more beds may be needed in a location more accessible to the population.