1. (1) Due to the complex needs of youth and young adults enrolled in IIBHT, IIBHT providers must have policies and procedures in place that address the following:

   1. (a)  How the agency will ensure that IIBHT staff have access to a QMHP or Clinical Supervisor to provide time sensitive consultation and support, as needed during working hours, outside of their required monthly supervision.
   2. (b) How the agency will assess the ongoing training needs of IIBHT staff members and ensure access to trainings during working hours, and include how the agency plans to support the use of evidence based and/or promising practices for complex cases requiring individual and family therapy.
   3. (c) How the agency will determine which staff attend IIBHT related meetings, trainings, and the OHA sponsored IIBHT Learning Collaboratives.

2. (2) QMHP Requirements:

   1. (a) Qualify as a Qualified Mental Health Professional as defined in OAR 309.019.0150
   2. (b) Participate in weekly IIBHT meetings to review complex cases and review clinical supports and safety plans
   3. (c) Have no more than 12 total youth/families assigned per QMHP, at any given time, regardless of serving multiple programs

3. (3) Skills Trainer requirements:

   1. (a) Qualify as a Qualified Mental Health Associate as defined in OAR 309.019.0150
   2. (b) Participate in weekly IIBHT meetings to review complex cases, clinical interventions and supports and review crisis and safety plan, as needed

4. (4) IIBHT Youth Support Specialists and Family Support Specialists requirements:

   1. (a) Qualify as a Youth Support Specialist or Family Support Specialist as outlined in 309-019-0125
   2. (b)  Has obtained certification as a Youth Peer Support Specialists or Family Support Specialist  and is listed on the Oregon Health Authority’s Traditional Health Worker Registry within 90 days of hire.
   3. (c) Participate in weekly IIBHT meetings to review complex cases and review clinical supports and safety plan
   4. (d) Receive supervision from a staff trained in an OHA approved training on Peer Supervision.

5. (5) IIBHT Clinical Supervisor Requirements:

   1. (a) Meet qualifications as a mental health clinical supervisor under OAR 309-019-0125

   2. (b) Demonstrate additional competence in:

      1. (A) Communication and collaboration within interdisciplinary clinical teams
      2. (B) Clinical expertise with individual and family interventions for youth and families experiencing complex dynamics and/or presentations
      3. (C) Trauma informed philosophy and practices
      4. (D) Adaptation of clinical practices for individuals with intellectual and/or developmental disability
      5. (E) Adaptation of clinical practices to address the cultural, racial, and/or ethnic needs of youth and families
   3. (c) Utilize the IIBHT Program and Practice Standards and an OHA approved clinical supervision tool
   4. (d) Attend training on supervision of Family Support Specialists and/or Youth Support Specialists through an Oregon Health Authority-approved training.
   5. (e) Attend OHA-sponsored quarterly IIBHT Supervisor Learning Collaborative.
   6. (f) Provide weekly meetings or group supervision to coordinate treatment supports, review safety plans, and coordinate crisis response between IIBHT staff members.
   7. (g) Have access to clinical consultation with an LMP, as needed.

Statutory/Other Authority

ORS 413.042, 430.640 & 430.705

Statutes/Other Implemented

ORS 430.010, 430.205 & 430.708

History

BHS 3-2025, adopt filed 02/27/2025, effective 03/01/2025