1. (1) Facility staff in Crisis Stabilization Centers must report all Critical Incidents to the Division. Critical incidents include:

   1. (a) Death, including by suicide or overdose.
   2. (b) Severe injury, including injury leading to hospitalization, injury resulting in medical attention needed or no medical attention needed, overdose resulting in hospitalization or needing medical attention, and emergency services needed.
   3. (c) Ongoing risk to health (for example: environmental risks such as black mold).
   4. (d) 911 calls made by program staff.
   5. (e) Extensive damage to the facility;
   6. (f) Where abuse or neglect is suspected, including unethical client and program staff relationships;
   7. (g) Relationships between individuals that result in harm to at least one individual.
   8. (h) Suspected exploitation, including financial exploitation, of an individual; and
   9. (i) Medication errors resulting in a telephone call to or a consultation with a poison control center or hospital, a visit to an emergency department or urgent care, hospitalization or death.
2. (2) A copy of the original, unredacted critical incident report must be submitted within 24 hours of the event using forms and procedures required by the Division.
3. (3) All critical incident reports must be maintained in the corresponding service record and in a common file for quality improvement purposes and review by the Division; and
4. (4) Critical incident reports filed in service records may not contain protected health information belonging to any other individual.

5. (5) Critical incident reports must contain, at a minimum, the following information:

   1. (a) The time and date of the event.
   2. (b) The time and date of when the critical incident report form was completed.
   3. (c) Name and title of program staff who filled out the report.
   4. (d) Identification of all program staff involved in the incident and the response to the incident, and their titles.
   5. (e) Identification of each individual involved.
   6. (f) Description of event.
   7. (g) Description of program response.
   8. (h) Description of which policies and procedures were followed and when applicable, any that were not followed.
   9. (i) Identification of program staff who were notified, and their titles.
   10. (j) Identification of which authorities the event was reported to, if applicable; and
   11. (k) Description of administrative response and follow-up.
6. (6) If a Crisis Stabilization Center program staff becomes aware of any death by suicide or suicide attempt occurring within 72 hours after an individual’s discharge, a critical incident report must be submitted to the Division using forms and procedures required by the Division.

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