1. (1) ACT Programs will triage referrals based on the Service Priority Population per OAR 309-019-0225(28) and medically appropriate standard as designated in OAR 309-019-0105 with the following characteristics:

   1. (a) Participants who meet the Service Priority Population per OAR 309-019-0225(28) are the primary target population for ACT services per evidence-based model; however, individuals with serious mental illness’ that are not listed as Service Priority Population should not be ruled out as a possible candidate for admission until properly evaluated. Primary diagnosis outside of the priority population will still need to meet the heightened acuity level of psychosis symptoms ACT model is designed to support.
   2. (b) Individuals with a primary diagnosis of a substance use disorder intellectual developmental disabilities, traumatic brain injury, personality disorder, or an autism spectrum disorder are not the intended recipients of ACT. Diagnostic must include a primary within the Service Priority Population.

2. (2) Participants with significant level of executive functioning s as demonstrated by the following circumstances that is either reoccurring or confirmed to not be an isolated brief-episode as the interventions or circumstances would require minimum of 6 service hours a week:

   1. (a) Significant difficulty consistently performing on an ongoing daily basis, the range of practical daily living tasks required for basic adult functioning or conflict with basic survival instincts (e.g., caring for personal business affairs; obtaining medical, legal, housing services; recognizing common dangers or hazards meeting nutritional needs; maintaining personal hygiene).
   2. (b) Significant negative impacts to living situations pr ability to maintain at a self-sustaining level as a direct result of lack of self-awareness, forward thinking resulting in safety or health risks due to inability to plan or recognize needs (e.g., repeated evictions or loss of housing) that is beyond a poor choice decision.
   3. (c) High use of acute care psychiatric hospitals or emergency departments for psychiatric reasons, including psychiatric emergency services as defined in OAR 309-023-0110(18) (e.g., two or more readmissions in a six-month period);
   4. (d) Intractable (e.g., persistent or very recurrent) severe major symptoms, affective, psychotic, suicidal;
   5. (e) Coexisting Substance Use Disorder of significant duration (e.g., greater than six months);
   6. (f) High risk of judicial involvement or history of criminal justice involvement (e.g., arrest, incarceration); with the exception of violence or assault directed at the ACT staff during the screening process only if action results in physical injury of the staff member or significantly impairs the ability to provide treatment services to the individual
   7. (g) Residing in an inpatient or supervised community residence in the community, and clinically assessed to be able to live in a more independent living situation if intensive services are provided or requiring a residential or institutional placement if more intensive services are not available;
   8. (h) Difficulty effectively utilizing traditional office-based outpatient services.
3. (3) The ACT program shall provide community-based, long-term, and time-unlimited services.
4. (4) If an individual is unable to maintain in community without 1:1 constant care; this is beyond the scope of what ACT could provide. ACT program may deny if the care requires 1:1 intervention on a continuum of care that is beyond the scope of ACT and make proper recommendations for higher level of care.

Statutory/Other Authority

ORS 161.390, 413.042, 430.256 & 430.640

Statutes/Other Implemented

ORS 161.390 - 161.400, 428.205 - 428.270, 430.010, 430.205 - 430.210, 430.254 - 430.640, 430.850 - 430.955 & 743A.168

History

BHS 29-2025, amend filed 12/29/2025, effective 01/01/2026
BHS 17-2025, amend filed 06/25/2025, effective 06/29/2025
BHS 32-2024, temporary amend filed 12/27/2024, effective 01/01/2025 through 06/29/2025
BHS 44-2023, amend filed 12/22/2023, effective 01/01/2024
MHS 4-2018, amend filed 02/27/2018, effective 03/01/2018
MHS 10-2017(Temp), f. 9-15-17, cert. ef. 9-15-17 thru 3-13-18
MHS 6-2017, f. & cert. ef. 6-23-17
MHS 26-2016(Temp), f. 12-27-16, cert. ef. 12-28-16 thru 6-23-17
MHS 18-2016, f. 11-28-16, cert. ef. 11-30-16
MHS 11-2016(Temp), f. 6-29-16, cert. ef. 7-1-16 thru 12-27-16