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.
Licensing or certification as a behavioral health program does not guarantee eligibility to participate as an Oregon Health Plan (OHP/Medicaid) provider. To learn about becoming an OHP provider, please visit the OHP Provider Enrollment page.
Find Rules and Resources for Behavioral Health Programs
Use the search field to find the information you need.
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.
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- Adult Foster Homes
- 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.
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- Behavioral Health Outpatient Treatment Programs
- 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
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- Behavioral Health Outpatient Treatment Programs
- 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
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- Children and Youth Programs
- 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.
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- Children and Youth Programs
- 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.
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- Civil Commitment Coordination and Investigation
- 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
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- Behavioral Health Outpatient Treatment Programs
- 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.
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- Community-Based Structured Housing
- 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).
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- Behavioral Health Outpatient Treatment Programs
- Purpose
DUII Services Providers provide the following services as outlined in OAR 309-019-0195:
- DUII Education – For individuals who do not meet diagnostic criteria for a substance use disorder and who have not had more than one DUII. A minimum of 12 hours of didactic education provided through a minimum of 4 sessions over a 4-week period.
- DUII Rehabilitation – For individuals who meet diagnostic criteria for a substance use disorder or who have had more than one DUII. Service type, frequency, and duration are individualized based on a diagnostic assessment using ASAM Criteria for level of care determination. Individuals must demonstrate a minimum of 90-days continuous abstinence prior to completion.
- Requirements
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- Problem Gambling Services
- Purpose
Problem gambling prevention services work to prevent problem gambling by increasing awareness about problem gambling.
Problem gambling treatment services assess and treat gambling disorders on an outpatient or residential basis.
- Requirements
Outpatient Behavioral Health Services: Chapter 309, Division 19
Residential Substance Use Disorders and Problem Gambling Treatment and Recovery Services: Chapter 309, Division 18
Contract service elements:
- 80: Prevention Services
- 81: Outpatient Treatment Services
- 82: Residential Treatment
- 84: Client Finding Outreach and Referral Pathway Services
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- Behavioral Health Outpatient Treatment Programs
- 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.
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- Residential Treatment Facilities
- 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
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- Residential Treatment Facilities
- Purpose
These programs provide housing and treatment services for individuals with substance use and problem gambling disorders. They can serve up to 16 individuals.
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- Sobering Facilities
- 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
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- Residential Treatment Facilities
- 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