1. (1) A Crisis Stabilization Center must be staffed 24 hours per day, seven days per week, every day of the year by a multidisciplinary team capable of meeting the needs of individuals in the community experiencing all levels of behavioral health crisis, that may include, but is not limited to:

   1. (a) Psychiatrists or psychiatric nurse practitioners;
   2. (b) Nurses;
   3. (c) Licensed or credentialed clinicians in the region where the Crisis Stabilization Center is located who can complete assessments; and
   4. (d) Peers with lived experience similar to the experiences of the individuals served.
2. (2) All program staff must meet applicable qualifications, credentialing, or certification standards and competencies as set forth in OAR 309-019-0125. All personnel documentation, training, and supervision is conducted as set forth in OAR 309-019-0130.
3. (3) An adequate number of program staff must be available in the adult area and, if there is one, the youth area to receive services, to provide continuous supervision and meet the stabilization, health, and safety needs of the individuals served.
4. (4) A minimum of two program staff must be on-site at all times for Crisis Stabilization Centers with the capacity to provide observation and crisis stabilization services for up to five individuals at a time.
5. (5) Crisis Stabilization Centers with the capacity to provide observation and crisis stabilization services for more than five individuals at a time, shall have one additional program staff on-site at all times for increased capacity of 5 individuals or portion thereof.
6. (6) Crisis Stabilization Centers must, at a minimum, have a QMHP on-call 24 hours per day, 7 days per week, each day of the year.

7. (7) In addition, all program staff, must receive training every two years in:

   1. (a) Evidence-based and best practice trauma-informed interventions to prevent and address disruptive behaviors and behavioral health crises;
   2. (b) Current Basic First Aid.
   3. (c) Current Cardiopulmonary Resuscitation (CPR)
   4. (d) Opioid overdose kits and administration of an FDA-approved short-acting, non-injectable, opioid antagonist medication
   5. (e) Linguistically, developmentally, and culturally responsive practice; and
   6. (f) Suicide and violence risk screening, assessment, and safety planning
8. (8) It is the provider's responsibility to ensure that security staff at the Crisis Stabilization Center do not carry firearms, whether employed under contract, or on-site. It is the provider’s responsibility to require Department of Public Safety Standards and Training de-escalation training for security staff.

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, 430.010, 430.021, 430.205 - 430.210, 430.254, 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