1. (1) The facility shall have policies and procedures for ongoing educational programs to instruct staff regarding best practices in psychiatric emergency services.

2. (2) A staff training curriculum shall include, but is not limited to:

   1. (a) Criteria for the admission of an individual who can safely be served by the facility;
   2. (b) Recognition of indicators of violence to self or others, or assault and criteria for the transfer of the individual to or from the facility;
   3. (c) Indicators of medical problems, identification of medication side effects, and indicators of medical problems and medical crisis;
   4. (d) Management of aggressive behavior and de-escalation techniques;
   5. (e) Trauma Informed care in accord with the Authority’s Trauma Informed Policy at https://www.oregon.gov/oha/amh/pages/trauma.aspx;
   6. (f) Practices to provide psychoeducation and post-discharge safety to patients and families;
   7. (g) Best practice treatment for substance use disorders

   8. (h) Staff training in best practices for:

      1. (A) Lethal means counseling which may include the CALM (http://www.sprc.org/resources-programs/calm-counseling-access-lethal-means) or similar curriculum;
      2. (B) Collaboration with patients on development of safety plans which may include guidelines established by the Suicide Prevention Resource Center, http://www.sprc.org/sites/default/files/SafetyPlanningGuide%20Quick%20Guide%20for%20Clinicians.pdf; and
      3. (C) Risk assessment.
3. (3) At a minimum, staff training shall be provided at time of hire and required annually, or more often if necessary.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

ORS 413.042

History

MHS 29-2016, f. & cert. ef. 12-29-16
MHS 15-2016(Temp), f. & cert. ef. 10-6-16 thru 4-3-17