1. (1) Crisis Stabilization Services must be offered to any individual experiencing a behavioral health crisis. Crisis Stabilization Services must be available to the community, 24 hours a day, seven days per week, every day of the year and provided in a homelike environment.
2. (2) Formal interpretation services must be available to individuals and families who request services in languages not spoken by staff members.
3. (3) Providers must ensure equitable access to services, particularly for individuals and families who may have faced historical and contemporary discrimination and inequities in health care based on race or ethnicity, physical or cognitive ability, IQ, gender, gender identity or presentation, sexual orientation, socioeconomic status, insurance status, citizenship status, or religion.
4. (4) Qualified program staff must screen for physical health concerns and have protocols in place to transfer an individual for further assessment as necessary when Crisis Stabilization Center staff cannot manage health concerns for the duration of the individual’s admission to the program.

5. (5) Qualified program staff must attempt to complete a developmentally appropriate suicide screening with individuals seeking service:

   1. (a) When unable to complete the suicide screening the reason must be clearly documented;

   2. (b) If the suicide screening tool indicates risk, then the following must occur and be documented:

      1. (A) A full suicide risk assessment must be completed by a Qualified Mental Health Professional (QMHP) or a licensed provider;
      2. (B) A crisis and safety plan which includes lethal means counseling when clinically indicated.

6. (6) Qualified program staff must provide the following services and supports, as clinically indicated:

   1. (a) Crisis intervention and de-escalation;
   2. (b) Violence screening and violence risk assessment
   3. (c) Substance use screening;
   4. (d) Crisis and safety planning; and
   5. (e) Care coordination.
   6. (f) Diagnosis
7. (7) Program Staff must identify and refer all individuals to appropriate services and supports to meet their needs.
8. (8) When serving youth and young adults ages 20 and under, Program Staff must offer a referral to Stabilization Services.
9. (9) If the individual has established medical or behavioral health services, program staff must attempt to coordinate care with the individual’s established provider. When unable to coordinate care with the established provider, program staff must document the reason.
10. (10) If the Qualified Mental Health Professional (QMHP) or a QMHP or one other trained behavioral health provider as defined in OAR 309-019-0125(12) determines that the individual requires a psychiatric evaluation and a director’s custody hold is required, program staff must initiate the appropriate steps to transport the individual to the evaluation per OAR 309-033-0230 (2)(b).
11. (11) The provider must work collaboratively with individuals to ensure connection to follow-up services and supports. When serving youth, the provider must work collaboratively with youth and their families to ensure connection to follow-up services and supports.
12. (12) The provider must attempt follow-up with individuals within 72 hours after discharge from a Crisis Stabilization Center.

Statutory/Other Authority

ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 430.624, 430.626 - 430.630, 430.640, 430.870, HB 2417 (2021) & 743A.168

Statutes/Other Implemented

ORS 183.310 - 183.750, 426.500, 428.205 - 428.270, 430.637 & 414.665

History

BHS 15-2026, temporary adopt filed 06/04/2026, effective 06/05/2026 through 09/15/2026
BHS 2-2026, temporary adopt filed 03/20/2026, effective 03/20/2026 through 09/15/2026