Oregon Revised Statutes Chapter 430 § 430.627 — Statewide coordinated crisis system; rules

Statewide coordinated crisis system; rules. (1) The purposes of ORS 430.626 to 430.628 are to build upon and improve the statewide coordinated crisis system in this state and to: (a) Remove barriers to accessing quality behavioral health crisis services; (b) Improve equity in behavioral health treatment and ensure culturally, linguistically and developmentally appropriate responses to individuals experiencing behavioral health crises, in recognition that, historically, crisis response services placed marginalized communities at disproportionate risk of poor outcomes and criminal justice involvement; (c) Ensure that all residents of this state receive a consistent and effective level of behavioral health crisis services no matter where they live, work or travel in the state; and (d) Provide increased access to quality community behavioral health services to prevent interactions with the criminal justice system and prevent hospitalizations. (2) Moneys from the 9-8-8 Trust Fund established in ORS 430.624 shall be used as follows: (a) Revenues from the 9-8-8 coordinated crisis services tax that are deposited into the fund shall be used only for: (A) The crisis call center system and crisis hotline center described in subsections (4) and (5) of this section; and (B) To the extent that the crisis call center system and crisis hotline center are fully funded, the expansion and ongoing funding of mobile crisis intervention teams. (b) Moneys other than revenues from the 9-8-8 coordinated crisis services tax that are deposited into the fund shall be used for: (A) A wide array of crisis stabilization services, including services provided by: (i) Crisis stabilization centers; (ii) Facilities offering short-term respite services; (iii) Peer respite centers; and (iv) Behavioral health urgent care walk-in centers; and (B) Community mental health program provision of crisis stabilization services or funding to cities to establish or maintain one or more mobile crisis intervention teams under ORS 430.628. (3) The Oregon Health Authority shall adopt by rule requirements for crisis stabilization centers that, at a minimum, require a center to: (a) Be designed to prevent or ameliorate a behavioral health crisis or reduce acute symptoms of mental illness or substance use disorder, for individuals who do not require inpatient treatment, by providing continuous 24-hour observation and supervision; (b) Be staffed 24 hours per day, seven days per week, 365 days per year by a multidisciplinary team capable of meeting the needs of individuals in the community experiencing all levels of crisis, that may include, but is not limited to: (A) Psychiatrists or psychiatric nurse practitioners; (B) Nurses; (C) Licensed or credentialed clinicians in the region where the crisis stabilization center is located who are capable of completing assessments; and (D) Peers with lived experiences similar to the experiences of the individuals served by the center; (c) Have a policy prohibiting rejecting patients brought in or referred by first responders, and have the capacity, at least 90 percent of the time, to accept all referrals; (d) Have services to address substance use crisis issues; (e) Have the capacity to assess physical health needs and provide needed care and a procedure for transferring an individual, if necessary, to a setting that can meet the individual’s physical health needs if the facility is unable to provide the level of care required; (f) Offer walk-in and first responder drop-off options; (g) Screen for suicide risk and complete comprehensive suicide risk assessments and planning when clinically indicated; (h) Screen for violence risk and complete more comprehensive violence risk assessments and planning when clinically indicated; and (i) Meet other requirements prescribed by the authority. (4) The authority shall: (a) Implement, maintain and improve the 9-8-8 suicide prevention and behavioral health crisis hotline and ensure the efficient and effective routing of calls, including staffing and technological infrastructure enhancements necessary to achieve operational and clinical standards and best practices set forth by the 988 Suicide and Crisis Lifeline and prescribed by the authority; and (b) Maintain a crisis hotline center to receive calls, texts and chats from the 9-8-8 suicide prevention and behavioral health crisis hotline and to provide crisis intervention services and crisis care coordination anywhere in this state 24 hours per day, seven days per week. The crisis hotline center shall: (A) Have an agreement to participate in the 988 Suicide and Crisis Lifeline network. (B) Meet 988 Suicide and Crisis Lifeline requirements and best practices guidelines for operational and clinical standards and any additional clinical and operational standards prescribed by the authority. (C) Record data, provide reports and participate in evaluations and related qu