1. (1) “Chief Medical Officer” means the physician designated by the superintendent of each state institution pursuant to ORS 179.360(1)(f) who is responsible for the administration of medical treatment at each state institution, or their designee.
2. (2) “Division” means the Division of State Hospitals of the Oregon Health Authority.
3. (3) “Interdisciplinary Team (IDT)” means a group of professional and direct care staff which has primary responsibility for the development of a plan for the care and treatment of an individual patient.
4. (4) “Oregon State Hospital” or “OSH” or “hospital” means any campus of the Oregon State Hospital system providing inpatient care and/or treatment to individual who are 18 years or older whether the program where the individual is receiving care and/or treatment is licensed at hospital level of care or other licensed level of care.
5. (5) “OSH Staff” means OSH employees, contractors, interns, and volunteers who have direct or indirect contact with patients.
6. (6) “Patient” means an individual who is 18 years or older who is receiving inpatient care and/or treatment in a state institution for the mentally ill, whether the program where the individual is receiving care and/or treatment is licensed at hospital level of care or other licensed level of care.
7. (7) “Restraint” means any manual method, physical or mechanical device, material, or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely. “Restraint” does not include devices, such as orthopedically prescribed devices, surgical dressings or bandages, protective helmets, or other methods that involve the physical holding of a patient for the purpose of conducting routine physical examinations or tests, or to protect the patient from falling out of bed, or to permit the patient to participate in activities without the risk of physical harm (this does not include a physical escort).

8. (8) “Seclusion” means the involuntary confinement of a patient alone in a locked room or area from which the patient is physically prevented from leaving. Seclusion does not include:

   1. (a) When a patient requests to be placed alone in an unlocked room; or
   2. (b) When a patient is with others in a locked unit or area.
9. (9) “Seclusion/Restraint Review Committee” means a committee, which may use a different name, appointed by the superintendent of each state institution as provided in OAR 309-112-0030.
10. (10) “Security Area” means any campus of the Oregon State Hospital system in which a program is conducted for higher acuity patients, including those judged guilty except for insanity, those court ordered into a secure program prior to trial, and those court committed patients not manageable in less secure programs.
11. (11) “Security Transportation” means placing a patient in restraint and transporting the patient outside of a security area.
12. (12) “State Institution” means any campus of the Oregon State Hospital system providing inpatient care and/or treatment to individuals who are 18 years or older whether the program where the individual is receiving care and/or treatment is licensed at hospital level of care or other licensed level of care.
13. (13) “Superintendent” means the executive head of the Oregon State Hospital system as listed in section (5) of this rule, or their designee.

Statutory/Other Authority

ORS 179.040, 413.042 & ORS 179.360

Statutes/Other Implemented

ORS 426.385 & ORS 179.360

History

BHS 25-2025, amend filed 12/22/2025, effective 12/29/2025
BHS 19-2025, temporary amend filed 07/03/2025, effective 07/03/2025 through 12/29/2025
BHS 16-2022, amend filed 08/11/2022, effective 08/11/2022
BHS 6-2022, temporary amend filed 04/12/2022, effective 04/12/2022 through 10/08/2022
BHS 11-2020, amend filed 09/22/2020, effective 09/23/2020
BHS 5-2020, temporary amend filed 04/20/2020, effective 04/20/2020 through 10/16/2020
MHS 2-2016, f. & cert. ef. 4-21-16
Reverted to MHD 2-1986, f. & ef. 3-31-86
MHS 6-2015(Temp), f. 10-20-15, cert. ef. 10-21-15 thru 4-15-16
Reverted to MHD 2-1986, f. & ef. 3-31-86
MHS 2-2013(Temp), f. & cert. ef. 1-23-13 thru 7-19-13
MHD 2-1986, f. & ef. 3-31-86
MHD 1-1984, f. 1-20-84, ef. 2-1-84
MHD 21-1982, f. & ef. 9-24-82
MHD 11-1982(Temp), f. & ef. 6-10-82
MHD 7-1982, f. & ef. 3-29-82
MHD 1-1982(Temp), f. & ef. 1-14-82