Bill Text: OR SB823 | 2013 | Regular Session | Engrossed
Bill Title: Relating to mental health services; declaring an emergency.
Spectrum: Slight Partisan Bill (Republican 2-1)
Status: (Failed) 2013-07-08 - In committee upon adjournment. [SB823 Detail]
Download: Oregon-2013-SB823-Engrossed.html
77th OREGON LEGISLATIVE ASSEMBLY--2013 Regular Session
NOTE: Matter within { + braces and plus signs + } in an
amended section is new. Matter within { - braces and minus
signs - } is existing law to be omitted. New sections are within
{ + braces and plus signs + } .
LC 3834
A-Engrossed
Senate Bill 823
Ordered by the Senate April 22
Including Senate Amendments dated April 22
Sponsored by Senators COURTNEY, BOQUIST, KNOPP
SUMMARY
The following summary is not prepared by the sponsors of the
measure and is not a part of the body thereof subject to
consideration by the Legislative Assembly. It is an editor's
brief statement of the essential features of the measure.
Requires Oregon Health Authority to create new programs and
expand existing programs to increase capacity statewide to
provide mental health services and serve individuals with mental
illness.
Specifies January 1, 2014, operative date.
{ + Creates legislative Mental Health Oversight Committee.
Specifies membership and duties. Requires committee to monitor
implementation of and expenditures under Act and make
recommendations for legislative changes. Sunsets committee on
January 2, 2016. + }
Declares emergency, effective on passage.
A BILL FOR AN ACT
Relating to mental health services; and declaring an emergency.
Be It Enacted by the People of the State of Oregon:
SECTION 1. { + (1) The Oregon Health Authority shall establish
new programs and expand existing programs in order to create a
robust network of services to meet the behavioral health needs of
all Oregonians. The programs must give individuals, families,
physicians and other health care providers and schools the tools
and training to identify the early signs of mental illness and to
intervene to prevent mental illness from becoming chronic. For
individuals already living with mental illness, these programs
must provide access to the appropriate level of treatment and be
designed to support a long term, sustained recovery. The
authority shall pay for these programs using all available
sources of public and private funds.
(2) For young adults, the authority shall:
(a) Establish a statewide program to provide psychosis
prevention, detection and treatment services for young adults 15
to 25 years of age, including:
(A) Outreach and engagement;
(B) Assessment and treatment using multidisciplinary teams
consisting of psychiatrists, social workers, occupational
therapists, nurses and vocational specialists;
(C) Family education;
(D) Cognitive behavioral therapy;
(E) Vocational and educational support;
(F) Prescribed medication using a low dose protocol; and
(G) Support for young adults in home, community, school and
work settings;
(b) Create young adult community hubs to provide mental health
services to young adults who do not meet the clinical criteria
for psychosis but who have been screened for and assessed as
requiring outpatient mental health or addiction treatment,
education, vocation or housing support and peer-delivered
services;
(c) Develop a statewide system of peer-delivered services for
young adults 15 to 25 years of age that will:
(A) Foster social connectedness and strong relationships among
young adults;
(B) Establish and support organizations led by young adults;
(C) Connect young adults with similar experiences related to
mental health and child welfare;
(D) Provide outreach through social media; and
(E) Enhance crisis lines and expand drop-in centers that
provide temporary shelters of safety and care for homeless young
adults; and
(d) Train alcohol and drug counselors and mental health
therapists to screen young adults for co-occurring disorders and
provide young adults who exhibit co-occurring disorders with
treatment and recovery services.
(3) For schools, the authority shall:
(a) Provide additional resources in order to allow all
school-based health centers in this state to have one full-time
practitioner to provide mental health services to students and to
provide mental health training to practitioners in the centers;
and
(b) Improve collaboration between schools and community mental
health programs in order to:
(A) Increase the capacity of the programs to provide mental
health services in schools;
(B) Train and assist education staff in screening and early
identification of mental illness;
(C) Provide consultation support to students; and
(D) Promote mental health in the school community and create a
positive school environment.
(4) For children and families, the authority shall:
(a) Develop and implement wraparound programs to provide
intensive care coordination for children with emotional and
behavioral disorders who are involved in multiple social service
and legal systems, including mental health, addictions, child
welfare, juvenile justice and school systems, including:
(A) Team-based, strength-based practices focused on child and
family needs for the purpose of ensuring that at-risk children
and youth remain in their homes, in school and with friends;
(B) Services and supports that:
(i) Stabilize children's lives;
(ii) Decrease children's needs for psychotropic medications;
(iii) Decrease incidents of harm to children and others;
(iv) Increase school performance; and
(v) Decrease delinquent behavior;
(b) Develop peer-support programs and organizations that
provide services to parents and families with children who are
experiencing mental health needs, including but not limited to
respite services, coaching, training and technical assistance;
and
(c) Develop and implement parent-child interaction therapy
programs that:
(A) Focus on families and children who are at risk of being
involved in, or who are involved in, the child welfare system or
whose lives are disrupted by substance abuse;
(B) Focus on children between two and eight years of age who
have behavioral problems and involve therapists who will work
with parents and children to model and coach positive parenting
skills for the purpose of interrupting the development of
behavioral disorders; and
(C) Improve school outcomes and avoid delinquent behavior.
(5) To improve support for families, schools and health care
providers and improve the health of communities, the authority
shall:
(a) Establish and maintain a help line by which a primary care
physician who is treating a person 18 years of age or under may
consult with a child psychiatrist;
(b) Develop a trauma program to train health care providers to:
(A) Identify the traumatic mental impact of adverse childhood
experiences, such as abuse, sexual exploitation, neglect and
bullying; and
(B) Treat the trauma caused by those adverse childhood
experiences;
(c) Provide the training and support to at least 1,500 primary
care physicians and other clinicians statewide to screen for
adolescent depression;
(d) Expand existing county-based health promotion and disease
prevention programs to include mental health initiatives to
increase mental health awareness, provide outreach and
engagement, decrease the stigma of mental illness and increase
the resilience and strength of communities and individuals to
support young people and their families; and
(e) Create a Collaborative Problem Solving technical assistance
center at the Oregon Health and Science University focused on the
provision of services and training for children, parents, foster
families, hospitals and residential programs that provide
children experiencing mental health challenges with cognitive
skills to avoid and overcome such challenges.
(6) For adults in crisis, the authority shall:
(a) Train and retain mobile teams of mental health
professionals who can deliver timely mental health interventions
and assessments on-site in the community and direct people who
are in crisis to appropriate services;
(b) Develop community-based crisis respite care, residential
treatment facilities and detoxification centers that can serve as
alternatives to acute care hospitals for the treatment of persons
with mental illness who do not require hospital care;
(c) Increase availability of courts with mental health
expertise, diversion programs and community based restoration
services for those unable to provide for their own legal defense
services; and
(d) Establish and maintain a help line by which a primary care
provider who is treating a person older than 18 years of age may
consult with a psychiatrist.
(7) To support recovery services in the community, the
authority shall:
(a) Offer comprehensive case management by teams of
professionals in the fields of social work, rehabilitation,
counseling, nursing and psychiatry for people with mental illness
who face multiple challenges, such as homelessness or involvement
in the criminal justice system, and who have not succeeded with
traditional mental health services;
(b) Establish a rental assistance program that provides
subsidies to develop and provide low-cost housing and support
services for persons with mental illness. Services provided shall
include but not be limited to home visits, provision of
prescribed medications and living skills education;
(c) Provide employment services to people with mental illness
in every county of this state, including help with resume
writing, improving interviewing skills, job search assistance and
transportation to job interviews and on-going counseling and
support in finding and retaining employment; and
(d) Assist counties in employing at least one peer services
coordinator to oversee the deployment of peer-delivered services,
behavioral health peer support specialists and recovery mentors
throughout the community mental health system within the county.
(8) To address the mental health needs of an aging population,
the authority shall place a geriatric mental health specialist in
each community mental health program to develop and coordinate
mental health services for people who are 65 years of age and
older. + }
SECTION 2. { + (1) Section 1 of this 2013 Act becomes
operative January 1, 2014.
(2) The Oregon Health Authority or any other public body may
take any action before the operative date specified in subsection
(1) of this section that is necessary to enable the authority or
public body to exercise, on and after the operative date
specified in subsection (1) of this section, all of the duties,
functions and powers conferred on the authority or public body by
section 1 of this 2013 Act. + }
SECTION 3. { + (1) The Mental Health Oversight Committee is
created, consisting of six members, three appointed by the
President of the Senate from among the members of the Senate and
three appointed by the Speaker of the House of Representatives
from among the members of the House of Representatives. The
President and the Speaker shall make reasonable efforts to ensure
balanced representation of the Democratic and Republican parties.
(2) If there is a vacancy for any cause, the appointing
official shall immediately make an appointment for the unexpired
term.
(3) The members of the committee shall select from among
themselves a chairperson and vice chairperson.
(4) Members of the committee are entitled to payment of
compensation and expense reimbursement under ORS 171.072, payable
from funds appropriated to the Legislative Assembly.
(5) The committee shall meet at such times and places as
determined by the chairperson, but no less frequently than once
every calendar quarter. At each meeting, the Oregon Health
Authority shall report on its progress in implementing section 1
of this 2013 Act, the outcomes achieved and any other information
requested by the committee. The committee shall monitor the
implementation of and the expenditures under section 1 of this
2013 Act to evaluate whether the expanded system of mental health
services described in section 1 of this 2013 Act is being
implemented appropriately, in a timely manner and within the
limits of available funds. The committee may make recommendations
for amendments to section 1 of this 2013 Act or for other
legislative changes necessary to further the goals described in
section 1 (1) of this 2013 Act.
(6) The authority shall report annually to the appropriate
committees during the regular session of the Legislative Assembly
its progress in implementing section 1 of this 2013 Act,
recommendations made by the Mental Health Oversight Committee and
any actions taken by the authority or the Department of Human
Services in response to the advice of the oversight
committee. + }
SECTION 4. { + Section 3 of this 2013 Act is repealed on
January 2, 2016. + }
SECTION 5. { + This 2013 Act being necessary for the immediate
preservation of the public peace, health and safety, an emergency
is declared to exist, and this 2013 Act takes effect on its
passage. + }
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