1. (1) IIBHT shall include 24/7/365 support for youth/young adults and their families in the event of a behavioral health crisis.

   1. (a) Crisis support shall be available as outlined in the youth/young adult’s individualized Crisis and Safety Plan to provide proactive support and use of skills to deescalate crises
   2. (b) Support shall be available by phone at a minimum, and many crises may be managed proactively by phone. When appropriate and requested by the youth/young adult and/or family, support will be offered in person.

2. (2) IIBHT proactive phone support and in-person crisis response shall include the provision and documentation of the following:

   1. (a) IIBHT providers shall maintain a policy outlining their procedure that insures youth/young adults and their families enrolled in IIBHT are able to access 24/7/365 proactive phone support and in-person crisis response.
   2. (b) IIBHT providers that are unable to provide 24/7/365 in person crisis response shall establish a Memo of Understanding (MOU) with their local Mobile Crisis Intervention team to provide crisis response to IIBHT-enrolled youth/young adults and their families between the hours of midnight and 7am.

   3. (c) IIBHT providers must ensure that any staff covering the proactive phone support and/or in-person crisis response for IIBHT meets the following requirements:

      1. (A) Staff must be trained in crisis intervention, suicide screening and de-escalation; and
      2. (B) Staff must have access to a QMHP who can provide clinical support and consultation; and
      3. (C) Staff must have access to the youth/young adult’s most up to date crisis and safety plan

   4. (d) All crisis responses must be clearly documented in the youth/young adult’s service record. Documentation must include the following:

      1. (A) A description of the incident;
      2. (B) A description of the interventions used;
      3. (C) A summary of the debrief with the child and family; and
      4. (D) Any recommendations for updates to the Crisis and Safety Plan and/or the Service Plan, and a timeframe for the next team meeting.

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