Requirements for Residential and Outpatient Programs
The Behavioral Health Division oversees residential and outpatient behavioral health facilities and programs.
- Outpatient programs are certified for up to three years. Additional site reviews may be scheduled with or without advance notice to ensure continued compliance with OARs.
- Adult foster homes are licensed annually.
- Other residential programs are licensed every two years.
The division conducts site reviews to determine whether to continue each program's license or certification. Additional inspections may be scheduled with or without advance notice to ensure continued compliance with Oregon Administrative Rules and Oregon Revised Statutes.
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Interested in opening a new behavioral health treatment program? Each program has a compliance specialist who approves programs for licensing or certification. Visit the program-specific page listed below to find the specialist near you.
- Purpose
Licensed Adult Foster Homes provide housing, services and assistance with activities for daily living in a home-like setting to adults diagnosed with a qualifying mental health condition. These single-family residences offer culturally appropriate care and support for up to five adult residents. Providers or a resident manager live on-site with residents.
- Requirements
AFHs are licensed annually. Additional inspections may be scheduled with or without advance notice to ensure continued compliance with the Oregon Administrative Rules (OARs) and Oregon Revised Statutes (ORS).
Persons who qualify for services must meet current guidelines, listed in the
Adult Foster Home OARs.
Each year, the provider, resident manager, and substitute caregiver of an Adult Foster Home must complete at least 12 hours of training directly related to the care and services for persons with mental illness.
Training must be documented in the provider, resident manager, and substitute caregiver's training records.
This training is in addition to any orientation which is attended by applicants prior to licensing, and includes but is not limited to:
- Understanding and Recognizing Severe and Persistent Mental Illness
- Mandatory Abuse Reporting
- Medication Management, Dispensing, and Documentation
- Incident Report Writing
- Resident Rights
- Adult Foster Home Emergency Planning
- Fire Safety
- Complaints and Grievances
- Cardiopulmonary Resuscitation (CPR) and First Aid
Find approved training courses for Adult Foster Homes.
- Purpose
ADSS are certified to screen individuals for DUII Rehabilitation or Education Services. Upon screening, ADSS then refer individuals to an approved DUII Services provider.
- Requirements
- Purpose
The ITS program provides intensive psychiatric services to children and adolescents diagnosed with a mental health condition. ITS programs include:
- 24-hour residential psychiatric care
- Psychiatric day treatment services
- Secure Children’s Inpatient Treatment Programs (SCIP)
- Secure Adolescent Inpatient Treatment Programs (SAIP)
- Sub-acute psychiatric treatment programs
- Requirements
The Chapter 309, Division 8 Oregon Administrative Rules (OARs) outline the certification requirements for ITS programs.
Programs must meet current OARs to become a certified ITS program. Programs are certified for up to three years. The Division partners with the DHS Office of Licensing and Regulatory Oversight and the Office of Adult Abuse Prevention and Investigations regarding program concerns, complaints, site-reviews and critical incidents.
- Purpose
This specialty is for Qualified Mental Health Professionals (QMHPs) who are employed by a division-certified Child and Adolescent Intensive Treatment Services (ITS) program.
A licensed CESIS is authorized to order, monitor and evaluate the use of seclusion and personal restraint in certified ITS facilities.
OHA does not issue CESIS licenses to practitioners licensed by other boards, such as :
- Licensed clinical social workers
- Licensed registered nurses
- Licensed psychologists
- Licensed professional counselors
- Licensed marriage and family therapists
- Licensed physicians
- Requirements
The Chapter 309, Division 22 Oregon Administrative Rules (OARs) outline the requirements for a CESIS license.
To obtain a CESIS license, the agency certified by the division to provide ITS residential treatment shall apply on behalf of the applicant.
- Purpose
The civil commitment coordinators regulate the statewide civil commitment system.
- This includes civil commitment proceedings, secure transport services, seclusion and restraint in acute care services, and community mental health crisis services.
- The coordinator conducts periodic site review of acute care hospitals and other facilities that utilize seclusion and restraint hold rooms.
Training related to these service areas is also offered to Oregon Department of Human Services and Oregon Health Authority staff.
- Requirements
- Purpose
Each county has a community mental health program. The purpose of these programs is to provide a system of appropriate, accessible, coordinated, effective, efficient safety net services to meet the mental health needs of the citizens of the community.
- Requirements
- Purpose
Community-Based Structured Housing (CBSH) facilities are residential settings (i.e., congregate housing). They provide housing and meals for persons with mental, emotional, behavioral or substance use disorders. They also provide residents with services and supports to assist their recovery.
- Examples of CBSH include: Transitional housing, temporary housing, recovery homes and supported living placements.
- CBSH facilities are not: Foster homes, residential treatment homes, residential treatment facilities, licensed care facilities, child care facilities, crisis respite facilities, college dormitories, or retirement homes.
- Requirements
CBSH facilities are registered annually. Inspections may be scheduled with or without advance notice to ensure continued compliance with the Oregon Administrative Rules (OARs) and Oregon Revised Statutes (ORS).
- Purpose
These are prison-based programs for adults in custody of the Oregon Department of Corrections.
- Requirements
- Purpose
These programs include:
- Community Mental Health Services and Supports for Children and Adults;
- Substance Use Disorders Treatment Services; and
- Problem Gambling Treatment Services.
- Requirements
- Purpose
Psychiatric emergency services are delivered in an emergency department at a licensed hospital or licensed hospital satellite. For people in crisis, services may include up to 23 hours of:
- Triage and assessment,
- Observation and supervision,
- Crisis stabilization,
- Crisis intervention,
- Crisis counseling,
- Case management,
- Medication management,
- Safety planning,
- Lethal means counseling and
- Mobilization of peer and family support and community resources.
- Requirements
- Purpose
Facilities provide housing and treatment services to adults diagnosed with a qualifying mental illness. They are staffed 24 hours a day. There are three types of facilities:
- Residential Treatment Homes (RTH) serve up to five residents.
- Residential Treatment Facilities (RTF) and Secure Residential Treatment Facilities (SRTF) serve six to 16 residents.
There are few contracted facilities that services 16 or more residents.
- Requirements
- Purpose
These programs provide housing and treatment services for individuals with substance use and problem gambling disorders. They can serve up to 16 individuals.
- Requirements
- Purpose
Registered sobering facilities are for acutely intoxicated people. They:
- Provide a safe place to stay while the chemical effects of the intoxicants subside. Once the effects subside, people can leave the facility on their own.
- Offer treatment options and referrals. This helps individuals transition and engage in a recovery program or the community.
- Are also resource centers, providing information about social service options.
Focused on safety, these facilities serve individuals for four to 48 hours.
- Requirements
- Purpose
These programs dispense and administer opioid agonist medications in conjunction with appropriate counseling, supportive, and medical services.
- Requirements
- Purpose
These residential or inpatient programs provide detoxification services for people with substance use disorders. OHA approves programs for one or more of the following ASAM Levels of Care:
- Adult Clinically Managed Residential Withdrawal Management Services, ASAM Level of Care 3.2-WM;
- Adult Medically Monitored Inpatient Withdrawal Management Services, ASAM Level of Care 3.7-WM; or
- Adolescent Medically Monitored Inpatient Withdrawal Management Services, ASAM Level of Care 3.7-WM.
- Requirements