These rules establish minimum operational standards for Oregon Peer Respite Programs, which are voluntary, non-clinical, short-term residential peer support services operated by peer-run organizations. Operators must maintain and implement written policies covering recovery principles, culturally responsive services, trauma-informed practices, staffing, medication management, and incident response. Programs must also collect and report participant demographic and service data and maintain financial records subject to Oregon Health Authority audit.
View official sourceOregon Health Authority Health Systems Division: Behavioral Health Services - Chapter 309 Division 20 PEER RESPITE PROGRAMS 309-020-0100 Purpose These rules prescribe general minimum operational standards for services and supports provided by Peer Respite Programs. Statutory/Other Authority: ORS 430.275 & HB 2980 (2021) Statutes/Other Implemented: ORS 430.275 History: BHS 2-2023, adopt filed 01/11/2023, effective 01/12/2023 BHS 15-2022, temporary adopt filed 08/08/2022, effective 08/08/2022 through 02/03/2023 309-020-0105 Definitions (1) “Culturally and linguistically responsive services” means the provision of effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural beliefs and practices, preferred languages, health literacy, and other communication needs. (2) “Culturally and linguistically specific services” means provision of culturally and linguistically responsive services (defined in section (1) of this rule set) designed for and delivered to a specific population by a provider who shares the culture, language, or identity with the individual seeking services. Culturally and linguistically specific services are grounded in the cultural values of minoritized communities to elevate their voices and experiences, with the aim of enhancing emotional safety, belonging, and a shared collective cultural experience for healing and recovery of the community served. (3) “Gender-affirming and responsive services” means services that holistically attends to but is not limited to transgender, gender-nonconforming, non-binary, Two Spirit and intersex people’s physical, mental, and social health needs and well-being while respectfully affirming their gender identity. Gender affirming care is sensitive and responsive to an individual’s gender identities and expressions. Gender affirming care complies with non-discrimination laws. (4) “LGBTQIA2S+ affirming and inclusive services” means services that proactively create an environment that intentionally and purposefully supports members of the LGBTQIA2S+ community. LGBTQIA2S+ community members are treated with respect, dignity and have equitable access to services, supports, and opportunities in a manner that sustains their whole selves. (5) “Peer respite services” means voluntary, non-clinical, short-term residential peer support as defined in ORS 430.275. (6) “Peer-run organization” means a community-based organization as defined in ORS 430.275. (7) “Peer support” means assistance as defined in ORS 430.275. (8) “Recovery principles” means a set of principles and values that are holistic, strengths-based, mutually supportive, respectful, individualized and person-directed, and that support self-direction, empowerment, responsibility, and hope for people. (9) “Trauma-informed practices” means strengths-based practices that seek to understand trauma and how it impacts people’s lives. Trauma-informed practices emphasize physical, psychological, and emotional safety for everyone and support people in having choice and control of their own lives. Statutory/Other Authority: ORS 430.275 & HB 2980 (2021) Statutes/Other Implemented: ORS 430.275 History: BHS 2-2023, adopt filed 01/11/2023, effective 01/12/2023 BHS 15-2022, temporary adopt filed 08/08/2022, effective 08/08/2022 through 02/03/2023 309-020-0120 Operational, Policy, and Service Support Requirements (1) Peer Respite programs must: (a) Be operated by peer-run organizations; (b) Ensure participation is voluntary and self-directed; (c) Provide peer respite services and peer support according to recovery principles. (2) Peer respite programs must maintain, implement, and formalize organizational policies and procedures that detail the following standards of service. Peer respite programs must make these policies and procedures available to the Oregon Health Authority and program participants: (a) Peer values and recovery principles; (b) Culturally and linguistically responsive services; (c) Culturally and linguistically specific services, when offered by the program; (d) Accessibility for people with intellectual and developmental disabilities; (e) Accessibility for people with physical disabilities; (f) Gender-affirming and responsive services; (g) LGBTQIA2S+ affirming and inclusive services; (h) Trauma-informed practices; (i) Incident and emergency response plan ; (j) Minimum staff training certification and continuing education requirements; (k) Medication management policy; (l) Minimum staffing requirements; and (m) Employee wellness and support plan. Statutory/Other Authority: ORS 430.275 & HB 2980 (2021) Statutes/Other Implemented: ORS 430.275 History: BHS 2-2023, adopt filed 01/11/2023, effective 01/12/2023 BHS 15-2022, temporary adopt filed 08/08/2022, effective 08/08/2022 through 02/03/2023 309-020-0130 Data Collection and Reporting Requirements (1) Financial recordkeeping and reporting is required as follows: (a) Programs must keep accurate books, records and accounts that are subject to inspection and audit by the Oregon Health Authority upon request; and (b) Additional financial reporting requirements must be followed as outlined and pre-negotiated in each grant or funding agreement or contract. (2) Participant demographics and participant service and support reporting is required. Each program must, at a minimum, collect and report on the following: (a) Number of people served ; (b) Average duration of participant stay; (c) Demographic data on people served, including self-reported demographic data on race, ethnicity, gender identity, and age. Each program must collect data in accordance with OAR 943 Division 070; (d) Grievances and safety concerns; and (e) Additional outcome reporting requirements must be followed as outlined and pre-negotiated in each grant or funding agreement or contract. Statutory/Other Authority: ORS 430.275 & HB 2980 (2021) Statutes/Other Implemented: ORS 430.275 History: BHS 2-2023, adopt filed 01/11/2023, effective 01/12/2023 BHS 15-2022, temporary adopt filed 08/08/2022, effective 08/08/2022 through 02/03/2023