From: To: Subject: Date: Attachments: WILCOX Richard A "kevin mcchesney" Feedback requested Tuesday, March 20, 2018 3:43:00 PM 3.20.18 draft SRTF admission criteria.docx Hi KevinAs we undertake the work of standardizing residential rates, we’re also looking at standardizing residential criteria. Could you please look this over and let me know your thoughts? Thanks Rick Wilcox Behavioral Health Implementation Coordinator Integrated Health Programs OREGON HEALTH AUTHORITY Health Systems Division Richard.a.wilcox@dhsoha.state.or.us Desk: (503) 945-5955 Mobile: (503) 884-8764 http://www.oregon.gov/OHA Draft SRTF Admission Criteria 3.20.18 Individual requires less than 24-hour Acute Hospital Care and Treatment • The individual requires supervision seven days a week/24 hours a day to develop skills necessary for daily living, to assist with planning and arranging access to a range of educational, therapeutic and aftercare services and to develop the adaptive and functional behavior that will allow the individual to live outside of a subacute hospital setting • Recent Hospitalization or Significant Risk of Hospitalization • Documented clinical need for a setting that restricts egress and community access • There is clinical evidence that the individual would be at risk to self or others if they were not in this setting AND/OR • As a result of the individual’s mental illness, there is an inability to adequately care for one’s physical needs, and caretakers/guardians are unable to safely fulfill those needs, representing potential serious harm to self As evidenced by one or more of the following in the past 30 days: o Attempted suicide or engaged in intentional physical self-harming behaviors, or substantial concern for suicidal ideation; or o Communicated as a serious expression of intent to inflict bodily harm upon another person or has physically assaulted another person due to the symptoms of a mental illness; or o Demonstrated an inability to care for his/her basic needs without substantial assistance and the lack of self-care abilities places that person at risk of developing or exacerbating a severe health condition; or o Due to the symptoms of a mental illness, the person will not remain in a place of service for the time needed to receive the services and supports necessary to resolve the symptoms of a mental illness that pose a threat to the person’s safety and well-being. o Failed placements in lower levels of care. o Under civil commitment, PSRB, Aid and Assist, or guardianship, and documented risk of elopement o Requires highly structured supports and close supervision for ADL’s, Med. Mgmt, and supports. o Requires highly structured supports and close supervision to maintain health and safety. • From: WILCOX Richard A Sent: Wednesday, April 11, 2018 9:24 AM To: kevin mcchesney Subject: srtf admission criteria Hi KevinI have an internal meeting set up to add this to the 035 rule. Please look this over and let me know if we’re good. Thanks Rick Wilcox Behavioral Health Implementation Coordinator Integrated Health Programs OREGON HEALTH AUTHORITY Health Systems Division Richard.a.wilcox@dhsoha.state.or.us Desk: (503) 945-5955 Mobile: (503) 884-8764 http://www.oregon.gov/OHA Draft SRTF Admission Criteria 3.20.18 Individual requires less than 24-hour Acute Hospital Care and Treatment • The individual requires supervision seven days a week/24 hours a day to develop skills necessary for daily living, to assist with planning and arranging access to a range of educational, therapeutic and aftercare services and to develop the adaptive and functional behavior that will allow the individual to live outside of a subacute hospital setting • Recent Hospitalization or Significant Risk of Hospitalization • Documented clinical need for a setting that restricts egress and community access • There is clinical evidence that the individual would be at risk to self or others if they were not in this setting AND/OR • As a result of the individual’s mental illness, there is an inability to adequately care for one’s physical needs, and caretakers/guardians are unable to safely fulfill those needs, representing potential serious harm to self As evidenced by one or more of the following in the past 30 days: o Attempted suicide or engaged in intentional physical self-harming behaviors, or substantial concern for suicidal ideation; or o Communicated as a serious expression of intent to inflict bodily harm upon another person or has physically assaulted another person due to the symptoms of a mental illness; or o Demonstrated an inability to care for his/her basic needs without substantial assistance and the lack of self-care abilities places that person at risk of developing or exacerbating a severe health condition; or o Due to the symptoms of a mental illness, the person will not remain in a place of service for the time needed to receive the services and supports necessary to resolve the symptoms of a mental illness that pose a threat to the person’s safety and well-being. o Failed placements in lower levels of care. o Under civil commitment, PSRB, Aid and Assist, or guardianship, and documented risk of elopement o Requires highly structured supports and close supervision for ADL’s, Med. Mgmt, and supports. o Requires highly structured supports and close supervision to maintain health and safety. • From: WILCOX Richard A Sent: Monday, April 16, 2018 12:07 PM To: kevin mcchesney Subject: SRTF criteria Hi KevinnThanks for looking this over. I made the changes you suggested. I originally kept the elopement reference in there to be consistent with the criteria used by KEPRO, but I think we’re OK. Rick Wilcox Behavioral Health Implementation Coordinator Integrated Health Programs OREGON HEALTH AUTHORITY Health Systems Division Richard.a.wilcox@dhsoha.state.or.us Desk: (503) 945-5955 Mobile: (503) 884-8764 http://www.oregon.gov/OHA Draft SRTF Admission Criteria 3.20.184.16.18 Individual requires less than 24-hour Acute Hospital Care and Treatment • The individual requires supervision seven days a week/24 hours a day to develop skills necessary for daily living, to assist with planning and arranging access to a range of educational, therapeutic and aftercare services and to develop the adaptive and functional behavior that will allow the individual to live outside of a subacute hospital setting • Recent Hospitalization or Significant Risk of Hospitalization • Documented clinical need for a setting that restricts egress and unrestricted community access • There is clinical evidence that the individual would be at risk to self or others if they were not in this setting AND/OR • As a result of the individual’s mental illness, there is an inability to adequately care for one’s physical needs, and caretakers/guardians are unable to safely fulfill those needs, representing potential serious harm to self As evidenced by one or more of the following in the past 30 days: o Attempted suicide or engaged in intentional physical self-harming behaviors, or substantial concern for suicidal ideation; or o Communicated as a serious expression of intent to inflict bodily harm upon another person or has physically assaulted another person due to the symptoms of a mental illness; or o Demonstrated an inability to care for his/her basic needs without substantial assistance and the lack of self-care abilities places that person at risk of developing or exacerbating a severe health condition; or o Due to the symptoms of a mental illness, the person will not remain in a place of service for the time needed to receive the services and supports necessary to resolve the symptoms of a mental illness that pose a threat to the person’s safety and well-being. o Failed placements in lower levels of care. o Under civil commitment, PSRB, Aid and Assist, or guardianship, and documented risk of elopement. o Requires highly structured supports and close supervision for ADL’s, Med. Mgmt, and supports. o Requires highly structured supports and close supervision to maintain health and safety. •