1. (1) In addition to developing and implementing the policies required in OAR 309-019-0110(1), all Crisis Stabilization Centers must develop and implement the following written policies and procedures:

   1. (a) Intake screening, service, and clinical assessment protocols for walk-ins and first responder drop-offs;
   2. (b) Delivery of Crisis Stabilization Center services identified in OAR 309-019-0110 is to address crisis issues which may include referrals for withdrawal management services or medication assisted treatment when appropriate.
   3. (c) Pathways and timelines for referring youth and young adults ages 20 and under, served at the Crisis Stabilization Center for ongoing stabilization services as described in OAR 309-072-0160.
   4. (d) Use of a Declaration for Mental Health Treatment, when available, to guide services;
   5. (e) Screening for and accessing services for emergency medical conditions, including transport by emergency medical services consistent with the requirements set forth in OAR 309-073-0130 Medical Protocols; and
   6. (f) Ensuring that individuals are considered for Crisis Stabilization Services without unlawful discrimination on the basis of race, ethnicity, gender, gender identity, gender presentation, sexual orientation, religion, creed, national origin, age, intellectual and/or developmental disability, IQ score, or physical disability.
   7. (g) Adopt and implement emergency procedures and disaster plans.

   8. (h) The plan shall cover such emergencies and disasters as fires, explosions, missing persons, accidents, earthquakes, and floods. The program must post the plan by the phone and be immediately available to the program staff. The plan must include diagrams of evacuation routes, and these must be posted. A list of emergency telephone numbers and emergency contact information must be kept by the phone and must include:

      1. (A) The name and emergency contact number for the program director or designee;
      2. (B) Emergency dispatch (911) and non-urgent police and fire contact numbers;
      3. (C) Poison control;
      4. (D) The local hospital;
      5. (E) The Office of Training, Investigations, and Safety;
      6. (F) Oregon SAFELINE [1-855-503-SAFE (7233)] and
      7. (G) Non-emergency numbers for contacting caseworkers, the CMHP, the Division, Disability Rights Oregon, the local public health office and emotional support lines available in the area.

2. (2) All written service delivery policies and specific procedures must prohibit the following:

   1. (a) Refusing to screen for Crisis Stabilization Services for any individual who presents at the center seeking services.
   2. (b) Refusing to screen for Crisis Stabilization Services any individual brought in or referred by first responders.
   3. (c) Psychological and physical abuse of an individual.
   4. (d) Seclusion, personal restraint, mechanical restraint, and chemical restraint. The policy must include how to respond to an individual that requires such interventions, to include transport to an appropriate setting.
   5. (e) Withholding shelter, food, medication, personal belongings, or supports for physical functioning.
   6. (f) Discipline of one individual receiving services by another individual receiving services; and
   7. (g) Requiring discontinuation of medications prescribed for the treatment of opioid dependence as a condition of receiving crisis stabilization services.

3. (3) The Crisis Stabilization Center Program Director or their designee must collaborate with applicable first responder agencies to develop a memorandum of understanding (MOU) for drop-off services. A copy of the MOU(s) must be included with the application for certification or certification renewal required in OAR 309-073-0105 and must include, at a minimum:

   1. (a) Drop-off policies and procedures.
   2. (b) The exact service areas and populations to be served; and
   3. (c) Information sharing that complies with applicable laws.

4. (4) If a Crisis Stabilization Center’s service area includes a Mobile Crisis Intervention Team as defined in OAR 309-072-0110 that is operated by a different Provider, the Crisis Stabilization Center Program Director or their designee must collaborate with the appropriate Providers to develop a MOU for drop-off services. A copy of the MOU(s) must be included with the application for certification or certification renewal required by OAR 309-008-0400 and must include, at a minimum:

   1. (a) Drop-off policies and procedures.
   2. (b) The service areas and populations to be served; and
   3. (c) Information sharing that complies with applicable laws.
5. (5) The Crisis Stabilization Center Director or their Designee must attempt to collaborate with and maintain and implement written policies and protocols, and Letter of Agreement or MOU with local 988 call center and county crisis line, if operated by a different provider.

6. (6) If a Crisis Stabilization Center’s service area includes one or more of the Nine Federally Recognized Tribes of Oregon, the Crisis Stabilization Center Program Director or their designee must collaborate with the tribe(s) to provide Crisis Stabilization Services for tribal members through a MOU if the tribe wishes to enter into such an agreement. A copy of the MOU(s) must be included with the application for certification or certification renewal required by OAR 309-008-0400 and must include, at a minimum:

   1. (a) Mutually agreed upon collaboration and delivery of services between the tribe(s) and the CrisisStabilization Center
   2. (b) The service areas and populations to be served;
   3. (c) Information sharing that complies with applicable laws; and
   4. (d) Collection, sharing, and ownership of data related to tribal members.
7. (7) Providers must produce an attestation or copies of correspondence confirming that all affected tribes were contacted and offered the opportunity to enter into a Memorandum of Understanding (MOU) but declined.

Statutory/Other Authority

ORS 183.310 -183.750, 179.040, 413.042, 413.032 - 413.033, 428.205 - 428.270, 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, 430.010, 430.021, 430.205 - 430.210, 430.335, 430.620, 430.626 - 430.630, 430.637 & 414.665

History

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