Or. Admin. Code § 944-010-0070

Current through Register Vol. 64, No. 1, January 1, 2025

Section 944-010-0070 - Low-Barrier Substance Use Treatment

(1) An entity funded under ORS 430.389(2) to provide low-barrier substance use treatment:

(a) Can not:

(A) Have programmatic barriers such as lengthy intake, appointment requirements, assessments or treatment planning sessions.

(B) Exclude individuals because of prior missed appointments.

(b) Must provide treatment services:

(A) With little or no wait time, but no more than 48 hours after a screening and an assessment that identifies substance use treatment as a needed service.

(B) Regardless of an individual's ability to pay or insurance coverage.

(C) Regardless of an individual's criminal history, warrant status, state residency or citizenship status.

(c) Must engage in outreach services and community engagement.

(d) Must offer individuals using substances by injection, interim referrals, or information to immediately reduce the adverse health effects of substance use, promote the health of the individual, and reduce the risk of overdose and the transmission of disease, including but not limited to:

(A) Counseling and education about blood borne pathogens including Hepatitis, HIV, STIs, and TB; the risks of needle and paraphernalia sharing; and the likelihood of transmission to sexual partners and infants;

(B) If the individual is pregnant, counseling on blood borne pathogen transmission, as well as the effects of alcohol, tobacco, and other drugs use on the fetus, and a referral to prenatal care; and

(C) Peer delivered supports, mentoring, and recovery services that address parenting and youth in transition support, if applicable.

(2) A funded entity must provide treatment that:

(a) Is without stigma.

(b) Is trauma-informed regardless of active use.

(c) Is culturally and linguistically responsive.

(d) Uses a harm reduction approach, including the immediate goal of improving quality of life and protecting against loss of life.

(e) Is individualized to meet the unique needs of each individual.

(f) Provides unique recovery trajectories personal to each individual rather than dictated by treatment providers.

(g) Includes medication for substance use disorders or a referral, if appropriate.

(3) To facilitate low-barrier substance use treatment an entity must address any transportation barriers facing the individual in order to facilitate access to treatment, services and supports, including minimizing or eliminating travel between multiple service providers.

Or. Admin. Code § 944-010-0070

DTRS 1-2024, temporary adopt filed 05/30/2024, effective 6/1/2024 through 11/27/2024; DTRS 3-2024, adopt filed 10/22/2024, effective 11/1/2024

Statutory/Other Authority: ORS 430.389, 430.390 & 430.391

Statutes/Other Implemented: ORS 430.383 & 430.392