Policies and Procedures

Within available resources, Washington County provides medically appropriate mental health services to low-income adults and children with a mental health diagnosis with no insurance coverage or exhausted benefits. Services are provided to those most in need, defined by history of use of high levels of care, poor functioning, dangerousness, community impact, and/or multi-systemic involvement.

The policies that guide the work being done in mental health, addictions and gambling are listed below.

Administration policies:

• Crisis Response System
• Cultural Competence
• Third Party Resources

Child, Youth and Family policies:

• School Based Mental Health Services
• Use of General Fund for Household of One and Uninsured Youth
• Wraparound

Choice policy:

• Assertive Community Treatment

Forensic Services policies:

• Alternatives to Involuntary Care
• Trial Visits

Quality Assurance policies and procedures:

• Advanced Directives
• Client Rights and Responsibilities
• Complaints and Grievances
• Compliance Referrals and Investigation Procedures
• Conflict of Interest
• Criminal Records Checks
• Fraud and Abuse
• Non-Retaliation and Whistleblower Protection
• Quality Assurance and Quality Improvement
• Variance Provision

Substance Use Disorder (SUD) policies:

• Addictions and Gambling Referrals
• Treatment of Co-Existing Disorders

Utilization Management (UM) policies:

• Client Assignment and Termination
• Coordination with Physical Health Care Providers and Health Plans
• Exceptional Needs Services and Continuity of Care Requests
• General Fund Home Based Stabilization
• General Fund Transfer Requests Within a Single Authorization Period
• Medication Management
• Medication Reimbursement for Non-OHP Clients
• Older Adult Services
• Oregon Health Plan Funded Treatment
• Retrospective Clinical Chart Review
• UM Inpatient General Fund
• Use of General fund as a Secondary Payor