Specifications include, but are not limited to: I. Eligibility: a. Stabilization services must be provided to eligible children and young adults ages twenty (20) and younger regardless of insurance type. b. Children and individuals, twenty (20) years of age and younger, shall be considered for stabilization services without discrimination on the basis of race, ethnicity, gender, gender identity, gender presentation, sexual orientation, insurance type, religion, creed, national origin, age, intellectual or developmental disability, IQ score, or physical disability. c. Families must be involved in stabilization services for children under the age of eighteen (18), to the extent possible. Individuals aged eighteen (18) and over may choose the extent to which their family is involved in services. d. Children who meet one (1) or more of the following criteria, are eligible to receive stabilization services: i. When indicated in an assessment in accordance with OAR 309-019-0135. ii. Mental health concerns related to continued patterns of behavioral and emotional problems, which require continued intervention and coordination to maintain functioning and prevent continued escalation. iii. Lack of current connection to the appropriate resources, services, and supports. iv. Further assessment, referral, and treatment for substance use. v. Suicidal ideation or at significant risk of suicide. vi. Escalation in frequency and intensity of agitation and/or aggression, due to behavioral health crisis, putting themselves or others at risk. vii. Lower levels of care are not expected to be effective in safely supporting the child and their family in the community. e. While there is no contractual cap for number of children served per month, County and Contractor shall meet regularly (no less than once per quarter), and likely more frequently in the first year of the contract to review access and program capacity. II. Services: a. Stabilization services are designed to maintain the child, as defined in OAR 309-019- 0105, in their current living arrangement; prevent unnecessary emergency room visits and hospitalizations; stabilize behavioral health needs; and improve functioning in life domains. b. Stabilization Services shall be provided from a family driven, youth guided, culturally informed, trauma informed approach. c. Services shall be provided, in-person, whenever possible, with the services and supports to the child and their family provided as frequently as necessary to meet the needs outlined in the service plan. d. Referrals for Stabilization Services shall be accepted from the Clackamas County Mobile Crisis Response Team/ Behavioral Health Unit, the Clackamas County mental health walk in center (Clackamas MHC), and emergency departments. e. Provider shall work with Clackamas County to maintain and implement written policies and protocols for accepting referrals from local (tri-county) emergency departments, crisis clinics, and mobile crisis teams. f. Stabilization Services shall be initiated for eligible children and their families within seventy-two (72) hours of the referral and may extend up to fifty-six (56) calendar days. g. When clinically indicated in the service plan, stabilization services may be extended past the initial fifty-six (56) calendar days to ensure transition to appropriate services, aftercare services, and supports are in place. h. Each child and their family receiving Stabilization Services shall be assigned a Qualified Mental Health Professional (QMHP) and a Family Support Specialist, in accordance with OAR 410-180-0305. i. The Family Support Specialist shall contact the family within seventy-two (72) hours of starting Stabilization Services to introduce their role and services. j. The assigned QMHP and Family Support Specialist shall coordinate services and take a team based approach to supporting children and their family while they are enrolled in stabilization services. k. Stabilization services may include the following: i. Skills training ii. Individual therapy iii. Family therapy iv. Medication management v. Case management vi. Care coordination vii. Youth peer support services viii. Family peer support services ix. 24-hour crisis response l. Provider shall connect the child and family to the appropriate services and supports to meet their needs in the least restrictive environment. m. Provider shall contact their child and family for follow up within five (5) days of discharge from stabilization services to ensure they have successfully transitioned to ongoing services and supports. If unable to contact the child and family their family, the attempt must be documented.
