Chapter 427 — Persons
With Intellectual or Developmental Disabilities
2011 EDITION
INTELLECTUAL OR DEVELOPMENTAL
DISABILITIES
MENTAL HEALTH; ALCOHOL AND DRUG
TREATMENT
GENERAL PROVISIONS
427.005 Definitions
427.007 Policy;
Department of Human Services to plan and facilitate community services
STATE TRAINING CENTERS
427.010 Eastern
Oregon Training Center; care provided; fees; superintendent; chief medical
officer
427.020 Review
of plan of care for residents; certification for continued care and training;
notice to resident
427.031 Rights
of residents
427.041 Leave
of absence for resident
427.051 Effect
of admission to training center on competency
427.061 Payment
for care and treatment in state training center
DIAGNOSTIC EVALUATIONS
427.104 Developmental
Disability Diagnosis and Evaluation Service; duties and powers
427.105 Diagnostic
evaluations; contents; purpose; rules
427.108 Fee
schedules for diagnosis and evaluation services
427.112 Certain
facilities to charge for performing diagnostic evaluations
ADMISSION TO STATE TRAINING CENTER
427.175 Admission
to training center; rules
427.180 Requirements
for admission
427.185 Application
for admission; diagnostic evaluation; costs of transportation and maintenance
during evaluation
427.190 Determination
of eligibility and priority for admission; notice of admission; appeal
427.195 Schedule
of admissions; priority admissions; costs of transportation and maintenance
427.205 State
Training Center Review Board; appointment; terms; compensation and expenses;
duties
INVOLUNTARY COMMITMENTS OF PERSONS WITH INTELLECTUAL
DISABILITIES
427.215 Need
for commitment
427.235 Notice
to court of need for commitment; investigation; report and recommendation
427.245 Hearing;
citation to appear; notice; right to legal counsel
427.255 Detention
prior to investigation or hearing; care and maintenance while under custody
427.265 Court
to advise person of nature of proceeding and rights; appointment of legal
counsel
427.270 Report
of diagnostic evaluation; recommendations of examining facility; appointment of
persons to conduct additional examination
427.275 Fees
of persons appointed by court to perform diagnostic evaluations; payment by
counties; witnesses; fees; costs
427.280 Treatment
given after citation issued; notice to court
427.285 Witnesses
required at hearing; cross-examination
427.290 Determination
by court of need for commitment; discharge; conditional release; commitment;
appointment of guardian or conservator
427.293 Disclosure
of record of proceeding
427.295 Appeal
of commitment order; appointment of legal counsel; costs
427.300 Assignment
to appropriate facility; notice of transfer or discharge; appeal; hearing
427.306 Confinement
of committed persons with intellectual disabilities in least restrictive
setting; attendants required
COMMUNITY HOUSING
427.330 Definitions
for ORS 427.330 to 427.345
427.335 Authority
of department to develop community housing; sale of community housing;
conditions; financial assistance to providers
427.340 Developmental
Disabilities Community Housing Fund; Community Housing Trust Account; reports
427.345 Sale
of state training center; fair market value; use of proceeds
SUPPORT SERVICES FOR ADULTS
427.400 Definitions
427.402 Individualized
written service plan; requirements; rules
427.410 Support
service brokerages
427.450 Application
of savings generated by support service brokerages
GENERAL PROVISIONS
427.005 Definitions.
As used in this chapter:
(1)
“Adaptive behavior” means the effectiveness or degree with which an individual
meets the standards of personal independence and social responsibility expected
for age and cultural group.
(2)
“Care” means:
(a)
Supportive services, including, but not limited to, provision of room and
board;
(b)
Supervision;
(c)
Protection; and
(d)
Assistance in bathing, dressing, grooming, eating, management of money,
transportation or recreation.
(3)
“Community developmental disabilities program director” means the director of
an entity that provides services described in ORS 430.664 to persons with
intellectual disabilities or other developmental disabilities.
(4)
“Developmental disability” means an intellectual disability, autism, cerebral
palsy, epilepsy or other neurological condition diagnosed by a qualified professional
that:
(a)
Originates before an individual is 22 years of age, or 18 years of age for an
intellectual disability;
(b)
Originates in and directly affects the brain and is expected to continue
indefinitely;
(c)
Results in a significant impairment in adaptive behavior as measured by a
qualified professional;
(d)
Is not attributed primarily to other conditions including, but not limited to,
a mental or emotional disorder, sensory impairment, substance abuse,
personality disorder, learning disability or attention deficit hyperactivity
disorder; and
(e)
Requires training and support similar to that required by an individual with an
intellectual disability.
(5)
“Director of the facility” means the superintendent of a state training center,
or the person in charge of care, treatment and training programs at other
facilities.
(6)
“Facility” means a state training center, community hospital, group home,
activity center, intermediate care facility, community mental health clinic, or
such other facility or program as the Department of Human Services approves to
provide necessary services to persons with intellectual disabilities or other
developmental disabilities.
(7)
“Incapacitated” means a person is unable, without assistance, to properly
manage or take care of personal affairs or is incapable, without assistance, of
self-care.
(8)
“Independence” means the extent to which persons with intellectual disabilities
or other developmental disabilities exert control and choice over their own
lives.
(9)
“Integration” means:
(a)
Use by persons with intellectual disabilities or other developmental
disabilities of the same community resources that are used by and available to
other persons;
(b)
Participation by persons with intellectual disabilities or other developmental
disabilities in the same community activities in which persons without
disabilities participate, together with regular contact with persons without
disabilities; and
(c)
Residence by persons with intellectual disabilities or other developmental
disabilities in homes or in home-like settings that are in proximity to
community resources, together with regular contact with persons without
disabilities in their community.
(10)(a)
“Intellectual disability” means significantly subaverage general intellectual
functioning, defined as intelligence quotients under 70 as measured by a
qualified professional and existing concurrently with significant impairment in
adaptive behavior, that is manifested before the individual is 18 years of age.
(b)
An individual with intelligence quotients of 70 through 75 may be considered to
have an intellectual disability if there is also significant impairment in
adaptive behavior, as diagnosed and measured by a qualified professional.
(c)
The impairment in adaptive behavior must be directly related to the
intellectual disability.
(d)
Intellectual disability is synonymous with mental retardation.
(11)
“Intellectual functioning” means functioning as assessed by one or more of the
individually administered general intelligence tests developed for the purpose.
(12)
“Minor” means an unmarried person under 18 years of age.
(13)
“Physician” means a person licensed by the Oregon Medical Board to practice
medicine and surgery.
(14)
“Productivity” means engagement in income-producing work by a person with an
intellectual disability or another developmental disability which is measured
through improvements in income level, employment status or job advancement or
engagement by a person with an intellectual disability or another developmental
disability in work contributing to a household or community.
(15)
“Resident” means a person admitted to a state training center either
voluntarily or after commitment to the department.
(16)
“Significantly subaverage” means a score on a test of intellectual functioning
that is two or more standard deviations below the mean for the test.
(17)
“State training center” means any facility that is an intermediate care
facility for the mentally retarded as defined in 42 U.S.C. 1396d(d).
(18)
“Training” means:
(a)
The systematic, planned maintenance, development or enhancement of self-care,
social or independent living skills; or
(b)
The planned sequence of systematic interactions, activities, structured
learning situations or education designed to meet each resident’s specified
needs in the areas of physical, emotional, intellectual and social growth.
(19)
“Treatment” means the provision of specific physical, mental, social
interventions and therapies which halt, control or reverse processes that
cause, aggravate or complicate malfunctions or dysfunctions. [1959 c.331 §10;
1961 c.706 §27; 1965 c.339 §1; subsection (2) enacted as 1965 c.595 §5; 1967
c.299 §1; 1979 c.683 §2; 1985 c.463 §1; 1985 c.565 §69; 1991 c.67 §111; 2001
c.900 §126; 2007 c.70 §215; 2009 c.828 §24; 2011 c.720 §§165,234]
427.007 Policy; Department of Human
Services to plan and facilitate community services.
(1) The Legislative Assembly finds and declares that a significant number of
persons with intellectual disabilities or other developmental disabilities
currently reside in state-operated hospitals and training centers or lack
needed services simply because appropriate community-based services, including
residential facilities, day programs, home care and other support, care and
training programs, do not exist. The Legislative Assembly further finds that
families are the major providers of support, care, training and other services
to their members with intellectual disabilities or other developmental
disabilities who live at home, and many of these families experience
exceptionally high financial outlays and extraordinary physical and emotional
challenges due to the unavailability of appropriate family support services.
Such services pertain to the needs of the person with a disability, the needs
of other family members related to their care-giving and nurturing capacity,
and specialized needs for environmental accommodation to reduce dependency of
the family member with an intellectual disability or another developmental disability.
Therefore, the Department of Human Services is directed to facilitate the
development of appropriate community-based services, including family support,
residential facilities, day programs, home care and other necessary support,
care and training programs, in an orderly and systematic manner. The role of
state-operated hospitals and training centers in Oregon shall be as specialized
back-up facilities to a primary system of community-based services for persons
with intellectual disabilities or other developmental disabilities.
(2)
In carrying out the directive in subsection (1) of this section, the department
shall develop a biennial plan in conjunction with the budgeting process for
review by each Legislative Assembly. In developing this plan, the department
shall meet with and consider the input of representatives from the following
constituencies: Consumer organizations, parent-family organizations, advocacy
organizations, unions representing workers in state-operated hospitals and
training centers, community provider organizations, state and local education
officials and community mental health departments or programs. Such plans shall
include, where appropriate:
(a)
Proposals for the decrease in the number of persons with intellectual disabilities
or other developmental disabilities to be served in state-operated hospitals
and training centers at a steady and planned rate until such time that the
Legislative Assembly shall determine that each person served in programs or
facilities operated or supported by the department is being served according to
the best contemporary professional practices in the least restrictive
environment, with preference given to the community-based setting over the
institutional. However, no person shall be moved from any facility until a
comprehensive assessment of the person’s medical, treatment, training and
support service needs has been completed, the move determined to be in the
person’s best interest and appropriate service alternatives procured.
(b)
Proposals for the orderly development of community-based services, including
family support, residential facilities, day programs, home care and other
necessary support, care and training programs, to accommodate persons coming
out of state-operated hospitals and training centers and to serve persons
already in the community waiting for services. The proposals shall include
services developed for persons in the community waiting for services that are
at least equal in number to those services developed for those coming out of
state-operated hospitals and training centers, and shall include services for
all persons who are leaving the public education system, in order to further
prevent unnecessary institutionalization of persons with intellectual
disabilities or other developmental disabilities. Funding for these services
shall be commensurate with individual need. These proposals may include
provisions for an array of both publicly and privately operated services and
shall include specific implementation plans requiring that new services
developed are designed to significantly increase the independence, productivity
and integration into the community of persons with intellectual disabilities or
other developmental disabilities.
(c)
Proposals for the location of community-based services for persons with
intellectual disabilities or other developmental disabilities in proximity to
family, friends, supportive services and home communities whenever possible.
(3)
In further carrying out the directive in subsection (1) of this section, the
department shall develop monitoring and evaluation systems which ensure
competent management, program quality and cost-effectiveness of community-based
services. Such systems shall include, where appropriate:
(a)
A comprehensive system of case management which assures an orderly movement of
persons with intellectual disabilities or other developmental disabilities from
state-operated hospitals and training centers to community-based services, and
between community-based service alternatives, and assures an effective system
of service delivery to persons with intellectual disabilities or other
developmental disabilities living in the community, based on individualized
planning and close cooperation with consumers, families and guardians.
(b)
An annual progress assessment of every person with an intellectual disability
or another developmental disability served in programs or facilities operated
or supported by the department. This assessment shall measure the degree to
which a family with a member with an intellectual disability or another
developmental disability demonstrates enhanced care-giving and nurturing
capacities, and the degree to which the independence, productivity and
integration into the community of each person with an intellectual disability
or another developmental disability has been increased as a result of receiving
such services. The overall results of these assessments shall annually be
aggregated and analyzed for each program or facility operated or supported by
the department, and shall be made available for public inspection and review by
the Legislative Assembly.
(c)
The development of specific standards for each component within the array of
services, for persons with intellectual disabilities or other developmental disabilities,
either operated or supported by the department and assure the competent
management, program quality and cost-effectiveness of such services.
(4)
Subject to available funds, the department shall ensure that each family with a
member with an intellectual disability or another developmental disability has
access to family support services, and that each person with an intellectual
disability or another developmental disability living in the community,
including those leaving the public education system, has access to
community-based services necessary to enable the person to strive to achieve
independence, productivity and integration. Specific services proposed for the
person shall be identified in an individual habilitation plan or in a family support
service plan.
(5)
Subject to available funds, the department shall determine the content of
individual habilitation plans and family support service plans, and the process
whereby such plans are developed and updated.
(6)
The department shall establish grievance procedures for mediation of disputes
concerning eligibility for or appropriateness of services in individual cases. [1981
c.287 §1; 1985 c.463 §2; 1987 c.353 §1; 1987 c.609 §1; 1989 c.505 §1; 2001
c.900 §127; 2007 c.70 §216; 2011 c.658 §5]
427.009 [1987
c.870 §1; repealed by 2001 c.900 §261]
STATE TRAINING CENTERS
427.010 Eastern Oregon Training Center;
care provided; fees; superintendent; chief medical officer.
(1) Except as otherwise ordered by the Department of Human Services pursuant to
ORS 179.325, the Eastern Oregon Training Center in Pendleton, Umatilla County,
shall be used for the care, treatment and training of persons with intellectual
disabilities who are assigned to the care of the institution by the department
according to procedures defined in ORS 427.185 or who were residents on October
3, 1979.
(2)
Upon receipt of an application approved by the department or its designee,
pursuant to its rules, a person with an intellectual disability may be entitled
to admission to the state training center for emergency, respite or part-time
care. Part-time care means presence of the person at the facility less than 24
hours per day and may include day or night care. Admission for emergency care
or respite care may not exceed 90 days. Admission for part-time care may exceed
90 days. The fee schedule for such care, training and treatment in the training
center shall be established by the department in the same manner as for other
residents. The fees shall be charged and collected by the department in the
same manner as charges are collected under ORS 179.610 to 179.770.
(3)
The superintendent of the training center named in subsection (1) of this
section shall be a person the department considers qualified to administer the
training center. If the superintendent of the training center is a physician
licensed by the Oregon Medical Board, the superintendent shall serve as chief
medical officer. If not a physician, the superintendent shall designate a
physician to serve as chief medical officer. The designated chief medical
officer may be an appointed state employee in the unclassified service, a
self-employed contractor or an employee of a public or private entity that
contracts with the department to provide chief medical officer services. Unless
the designated chief medical officer is specifically appointed as a state
employee in the unclassified service, the designated chief medical officer
shall not be deemed a state employee for purposes of any state statute, rule or
policy.
(4)(a)
Notwithstanding any other provision of law, the designated chief medical
officer may supervise physicians who are employed by the training center or who
provide services at the training center pursuant to a contract.
(b)
The designated chief medical officer may delegate all or part of the authority
to supervise other physicians at the training center to a physician who is
employed by the state, a self-employed contractor or an employee of a public or
private entity that contracts with the department to provide physician
services. [Amended by 1953 c.155 §7; 1965 c.339 §2; 1965 c.595 §3; 1969 c.391 §9;
1971 c.75 §1; 1973 c.262 §1; 1973 c.807 §3; 1979 c.683 §6; 1983 c.505 §2; 1983
c.740 §150; 2001 c.900 §128; 2007 c.70 §217; 2009 c.59 §2; 2011 c.658 §6]
427.012 [Formerly
428.548; repealed by 1979 c.683 §37]
427.015 [1961
c.661 §2; 1967 c.534 §21; repealed by 1979 c.683 §37]
427.020 Review of plan of care for
residents; certification for continued care and training; notice to resident.
(1) State training centers shall annually review the plan of care for each
resident and certify the resident’s eligibility and need for continued
residential care and training and shall present each certification with clear
and convincing justification for continued residential care and training to the
State Training Center Review Board for review and action pursuant to this
section. If the board does not approve of the certification or, if the resident
objects to continued residential care and training, the resident shall be released
pursuant to ORS 427.300 or, if the Department of Human Services considers
release not to be in the best interest of the resident, the superintendent of
the state training center where the person is a resident shall initiate
commitment proceedings pursuant to ORS 427.235 to 427.290. The board may
require the physical presence of any resident during the review. However, the
board shall require the physical presence of each resident at least once every
three years of residence in a state training center.
(2)
The plan of care for each resident shall include, but not be limited to, the
following:
(a)
Current diagnosis;
(b)
Level of functioning;
(c)
Current habilitation and health programs in which the resident is
participating;
(d)
Statement as to continued eligibility and continued need for residential care;
(e)
Statement of long-term and short-term goals for the resident; and
(f)
Verification that the person has been advised of the facility’s statement of
rights and the policies governing the immediate living area of the person.
(3)
The state training center shall notify the resident orally. In addition, the
resident, the resident’s parent, guardian or person entitled to custody shall
be notified by certified mail of the intent to certify the need for the
resident’s continued commitment. The notification shall include the following:
(a)
Time, place and location of the hearing of the State Training Center Review
Board;
(b)
Explanation of the possible consequences of the proceedings; and
(c)
Explanation of the resident’s right to appear before the board on the resident’s
own behalf or to be represented at the proceeding by the resident’s parent,
guardian, the person entitled to custody or other person, including counsel, of
the resident’s choosing.
(4)
In the event the resident, because of severe disability, is unable to receive
and acknowledge the communication required by subsection (3) of this section,
that fact shall be documented in the resident’s record and conveyed to the
board. [1979 c.683 §28; 2011 c.658 §7]
427.025 [1961
c.661 §3; 1965 c.339 §3; 1967 c.534 §22; repealed by 1979 c.683 §37]
427.030
[Amended by 1953 c.155 §7; 1957 c.403 §6; 1959 c.331 §7; repealed by 1961 c.661
§20]
427.031 Rights of residents.
(1) Every resident shall have the right to exercise all civil rights in the
same manner, and with the same effect, as one not admitted to a state training
center, including, but not limited to, the right to dispose of property,
execute instruments, make purchases, enter contractual relationships, and vote,
unless the resident has been adjudicated incompetent and has not been restored
to legal capacity.
(2)
Pursuant to rules of the Department of Human Services, a statement of rights
guaranteed to residents admitted to state training centers shall be prominently
posted in all facilities housing such residents. Each resident shall be
encouraged and assisted to understand and exercise these rights which shall
include, but not be limited to, the right to:
(a)
Communicate freely in person by sending and receiving sealed mail and by
reasonable access to telephones;
(b)
Wear the resident’s own clothing;
(c)
Keep personal possessions, including toilet articles;
(d)
Religious freedom;
(e)
A private storage area with free access thereto;
(f)
Be furnished with a reasonable supply of writing materials and stamps;
(g)
Be represented by counsel whenever the substantial rights of the resident may
be affected;
(h)
Petition for a writ of habeas corpus;
(i)
Not be required to perform labor tasks of the facility except those essential
for treatment and training; and
(j)
Be given reasonable compensation for all work performed other than personal
housekeeping duties.
(3)
Every resident shall have the right to the least hazardous treatment procedures
available in the least restrictive state training center living area according
to personal need and provisions of law.
(4)
Mechanical restraints shall not be applied to a resident of a state training
center unless it is determined by the chief medical officer of the facility or
the designee of the chief medical officer to be required for the safety and
welfare of the person or the safety of others. Every use of a mechanical
restraint and the reasons therefor shall be made a part of the clinical record
of the person over the signature of the chief medical officer of the facility
or the designee of the chief medical officer. [1979 c.683 §29]
427.035 [1961
c.661 §4; 1965 c.339 §4; repealed by 1979 c.683 §37]
427.040
[Amended by 1953 c.155 §7; repealed by 1961 c.661 §20]
427.041 Leave of absence for resident.
The superintendent of a state training center may grant a temporary leave of
absence to any resident of the state training center pursuant to the rules of
the Department of Human Services. The state training center, the superintendent
and the chief medical officer thereof, and the Director of Human Services shall
not be liable for a resident’s expenses while on temporary leave of absence nor
shall they be liable for any damages whatsoever that are sustained by a person
on account of the actions or misconduct of a resident while on leave of
absence. [Formerly 427.150; 2007 c.70 §218]
427.045 [1961
c.661 §§5,6; 1965 c.339 §5; repealed by 1979 c.683 §37]
427.050
[Amended by 1953 c.155 §7; 1957 c.388 §12; 1961 c.661 §11; renumbered 427.065]
427.051 Effect of admission to training
center on competency. A person admitted to a state
training center may not be considered by virtue of the admission to be
incompetent. [Formerly 427.305; 2007 c.70 §219]
427.055 [1961
c.661 §§7,8; 1965 c.339 §6; repealed by 1979 c.683 §37]
427.059 [1961
c.661 §§9,10; 1965 c.339 §7; repealed by 1979 c.683 §37]
427.060
[Amended by 1961 c.661 §12; renumbered 427.067]
427.061 Payment for care and treatment in
state training center. (1) If any person with an
intellectual disability is admitted to and detained in a state training center
under ORS 427.255, the Department of Human Services shall charge to and collect
from appropriate persons the costs in the same manner as it would for other
residents of the state training center under the provisions of ORS 179.610 to
179.770.
(2)
If any person is adjudged to be in need of commitment for residential care,
treatment and training as provided by ORS 427.255, and the person receives
care, treatment and training in a state training center, the person, or other
persons or agencies legally responsible for the support of the person, may be
required to pay the cost of the care of the person at the state training
center, as provided by ORS 179.610 to 179.770. [1979 c.683 §32; 2011 c.658 §8]
427.062 [1969
c.632 §§2,3,4; repealed by 1979 c.683 §37]
427.065
[Formerly 427.050; 1965 c.339 §8; 1975 c.155 §4; 1979 c.683 §12; renumbered
427.195]
427.067
[Formerly 427.060; repealed by 1979 c.683 §37]
427.070
[Amended by 1961 c.661 §13; repealed by 1965 c.339 §27]
427.075 [1969
c.38 §2; repealed by 1979 c.683 §37]
427.080
[Repealed by 1961 c.661 §20]
427.085 [1961
c.661 §15; 1967 c.534 §23; 1969 c.591 §299; repealed by 1979 c.683 §37]
427.090
[Amended by 1961 c.661 §16; 1965 c.339 §9; repealed by 1979 c.683 §37]
427.100
[Amended by 1965 c.339 §10; repealed by 1979 c.683 §37]
DIAGNOSTIC EVALUATIONS
427.104 Developmental Disability Diagnosis
and Evaluation Service; duties and powers. The
Department of Human Services with funds appropriated for that purpose by the
legislature, shall establish and operate a Developmental Disability Diagnosis
and Evaluation Service for people with intellectual disabilities or other
developmental disabilities. The Developmental Disability Diagnosis and
Evaluation Service shall provide all or part of diagnostic evaluations, as
defined in ORS 427.105, when complete evaluations are not available through
community developmental disabilities programs, and the Developmental Disability
Diagnosis and Evaluation Service shall:
(1)
Provide consultation and training to community developmental disabilities
programs in the development of local diagnosis and evaluation services;
(2)
Develop and periodically revise department standards and procedures for
diagnosis and evaluation services;
(3)
Coordinate diagnostic evaluations statewide to minimize duplication of tests
and examinations;
(4)
Approve applications for admission to a state training center;
(5)
Provide necessary information to the State Training Center Review Board when a
decision of the Developmental Disability Diagnosis and Evaluation Service
regarding admission to a state training center is appealed by the person, the
parents or legal guardian of the person;
(6)
Provide consultation to appropriate agencies and individuals regarding persons
evaluated; and
(7)
Process and coordinate all placements of residents from state training centers.
[1953 c.631 §1; 1965 c.339 §21; 1971 c.74 §1; 1979 c.683 §13; 2001 c.900 §129;
2009 c.595 §437; 2011 c.658 §9]
427.105 Diagnostic evaluations; contents;
purpose; rules. (1) Pursuant to rules of the
Department of Human Services, a diagnostic evaluation shall include, but not be
limited to, the following:
(a)
A social history;
(b)
A psychological evaluation, including an appropriate individual test of
intellectual capacity, an academic achievement test, a social development
assessment and an adaptive behavior assessment;
(c)
A medical evaluation including prenatal, natal, early postnatal and other past
and family history, a complete physical examination including tests of visual
function, and any specialized examinations necessary;
(d)
A speech and hearing screening; and
(e)
A dental screening.
(2)
The diagnostic evaluation shall also attempt to determine the existence of
related conditions such as epilepsy, cerebral palsy, autism and specific
learning disorders and to outline the most appropriate services for the
treatment and training of the person, whether those services are immediately
available or not.
(3)
A facility approved by the department to conduct diagnostic evaluations may
contract with qualified persons to perform components of the evaluation. [1979
c.683 §14]
427.106 [1953
c.631 §2; 1965 c.339 §22; 1969 c.53 §1; repealed by 1979 c.683 §37]
427.108 Fee schedules for diagnosis and
evaluation services. The Department of Human Services
shall establish fee schedules for services under ORS 427.104. All fees
collected under this section shall be deposited in the Department of Human
Services Account. [1953 c.631 §3; 1977 c.384 §6; 1979 c.683 §15; 2009 c.595 §437a]
427.110
[Repealed by 1953 c.155 §7]
427.112 Certain facilities to charge for
performing diagnostic evaluations. A general
hospital, community developmental disabilities program, or other facility,
except a state training center, providing diagnostic evaluations under ORS
427.105 shall charge to and collect from the person, third party payers, or
other persons or agencies otherwise legally responsible therefor, the costs of
the diagnostic evaluation or emergency care, custody and treatment, as the
facility would for any other client or resident. [1979 c.683 §30; 2009 c.595 §438]
427.120
[Amended by 1953 c.155 §7; 1959 c.331 §8; 1965 c.339 §11; repealed by 1979
c.683 §37]
427.130
[Amended by 1955 c.651 §10; repealed by 1957 c.160 §6]
427.140
[Repealed by 1957 c.388 §17]
427.150 [1953
c.155 §5; 1963 c.411 §1; 1965 c.339 §12; 1969 c.597 §93; 1979 c.683 §27;
renumbered 427.041]
ADMISSION TO STATE TRAINING CENTER
427.175 Admission to training center;
rules. Pursuant to reasonable rules of the
Department of Human Services and in conformity with ORS 427.180 to 427.190, the
superintendent of a state training center shall admit as a resident and take
custody of any person who meets the admission requirements set out in ORS
427.180. [Formerly 427.220]
427.180 Requirements for admission.
(1) A person shall be admitted to a state training center only after:
(a)
The person has either been committed to the Department of Human Services as a
person with an intellectual disability under ORS 427.290, or an application for
admission has been filed either by the person or by another in the manner set
forth in ORS 427.185;
(b)
The person has undergone a diagnostic evaluation as defined in ORS 427.105 and
the completed evaluation has been provided to the Developmental Disability
Diagnosis and Evaluation Service established under ORS 427.104; and
(c)
Either the Developmental Disability Diagnosis and Evaluation Service or, upon
appeal, the Director of Human Services finds that the person meets the
requirements set out in subsection (2) of this section and approves the person
for admission.
(2)
A person shall be approved for admission under subsection (1)(c) of this
section if the following conditions exist:
(a)
The person has an intellectual disability;
(b)
Programs and services needed by the person are available in a state training
center and comparable services are not available in community developmental disabilities
programs or other human service agencies;
(c)
Admission to a state training center is the best available plan and in the best
interest of the person, family of the person and the community; and
(d)
Space is available or may become available within a reasonable time in an
appropriate unit of a state training center. [1979 c.683 §8; 2009 c.595 §439;
2011 c.658 §10]
427.185 Application for admission;
diagnostic evaluation; costs of transportation and maintenance during
evaluation. (1) A person seeking admission to a
state training center shall apply on forms and in the manner established by the
Department of Human Services, to the community developmental disabilities
program serving the area in which the applicant currently resides. If the person
seeking admission is a minor or is incapacitated, the application shall be made
by the person’s parents or guardian or by the person entitled to custody.
(2)
Upon receipt of an application, the community developmental disabilities
program shall provide or arrange a diagnostic evaluation, meeting the
requirements set forth in ORS 427.105, of the person on whose behalf the
application for admission is made at a facility approved by the department. The
community developmental disabilities program or its designee shall schedule a
date for the diagnostic evaluation and notify the applicant or person having
custody. No person shall be kept in residence in a training center for a
diagnostic evaluation longer than 10 business days.
(3)
The costs of transportation to the community developmental disabilities program
or designated facility shall be paid by the applicant. The cost of maintenance
for any period of residence in a training center shall be determined as
provided for in ORS 179.610 to 179.770 and paid by the applicant or other
persons or agencies legally responsible. [Formerly 427.225; 2009 c.595 §440]
427.190 Determination of eligibility and
priority for admission; notice of admission; appeal.
(1) Upon receipt of a completed diagnostic evaluation, the community
developmental disabilities program shall forward the completed application and
the completed diagnostic evaluation to the Developmental Disability Diagnosis
and Evaluation Service.
(2)
Upon receipt of a completed application and diagnostic evaluation from the
community developmental disabilities program, the Developmental Disability
Diagnosis and Evaluation Service shall promptly determine the eligibility and
priority for admission in accordance with ORS 427.180 and 427.195.
(3)
When space in an appropriate unit of a training center becomes available for a
person otherwise eligible for admission under ORS 427.180, the Developmental
Disability Diagnosis and Evaluation Service shall notify the applicant or, if
the person is committed, the director of the community developmental
disabilities program in the county of the person’s residence that the person
has been accepted for admission. The notice shall establish the date when the
admission is to be made. If the person does not appear at the designated training
center within 15 days after the date established for admission, the application
of the person may be canceled by the Developmental Disability Diagnosis and
Evaluation Service.
(4)
A person applying for admission to a state training center or, if the person is
a minor or incapacitated, the person applying for admission on behalf of the
minor or incapacitated person may appeal any decision of the Developmental
Disability Diagnosis and Evaluation Service regarding admission to the Director
of Human Services. The appeal shall be filed within 30 days of receipt of
notice of the decision and shall set forth the reasons for the appeal. The
director shall convene the State Training Center Review Board, established
under ORS 427.205, within 30 days of receipt of the appeal. The board shall
advise the director regarding disposition of the appeal, and the director shall
make a decision on the appeal within 30 days of the meeting of the board. The
decision of the director shall be final. [1979 c.683 §10; 2009 c.595 §441]
427.195 Schedule of admissions; priority
admissions; costs of transportation and maintenance.
(1) Persons are entitled to admission to state training centers in the order in
which completed applications are received and filed by the Developmental
Disability Diagnosis and Evaluation Service, whether the person has been
committed to the Department of Human Services or is voluntarily requesting
admission. However, pursuant to rules of the department, persons may be
admitted on a priority basis if their behavior or condition is a threat to
their welfare or safety or to the safety of others.
(2)
A person committed to the department and approved for admission by the
Developmental Disability Diagnosis and Evaluation Service shall be conveyed to
the designated training center by a member of the family of the person or other
persons legally responsible for the person. The expense of the transportation
of the person to the designated training center shall be paid by the county in
which the petition of commitment is filed.
(3)
The costs of transportation for a voluntary applicant to the designated
training center shall be paid by the applicant or, if the applicant is a minor
or incapacitated person, by the parents or person entitled to custody of the
applicant.
(4)
The cost of maintenance for the period of residence shall be determined as
provided for in ORS 179.610 to 179.770 and paid by the appropriate persons or
agencies, whether the resident was committed to the department or voluntarily
applied for admission to the training center. [Formerly 427.065]
427.200 [1953
c.615 §1; repealed by 1957 c.202 §6]
427.205 State Training Center Review
Board; appointment; terms; compensation and expenses; duties.
(1) The Director of Human Services shall appoint a State Training Center Review
Board composed of three members. The Arc of Oregon, the Fairview Parents
Association and the Oregon Council on Developmental Disabilities or their
successor organizations may each recommend three persons to the director. The director
may select one person from each list to serve as a member of the board. Each
board member shall have had at least five years of involvement and active
interest in programs for persons with intellectual disabilities. A board member
may not be an employee of the Department of Human Services.
(2)
The term of office of each member is two years. The director may remove any
member for misconduct or neglect of duty. Replacement of board members shall be
accomplished by the same procedure as that used in subsection (1) of this
section for selection. The director shall request a new list of three persons
from the organization whose nominee for board member is to be replaced.
(3)
A member of the board not otherwise employed full-time by the state shall be
paid on a per diem basis an amount equal to four percent of the gross monthly
salary of a member of the State Board of Parole and Post-Prison Supervision for
each day during which the member is engaged in the performance of official
duties, including necessary travel time. In addition, subject to ORS 292.220 to
292.250 regulating travel and other expenses of state officers and employees,
the member shall be reimbursed for actual and necessary travel and other
expenses incurred by the member in the performance of official duties.
(4)
The board shall perform the following duties:
(a)
Review decisions of the Developmental Disability Diagnosis and Evaluation
Service regarding admissions to state training centers that have been appealed
by the applicant or, if a minor or incapacitated person, by the person applying
on the behalf of the minor or incapacitated person and advise the director
regarding the appropriateness for the admission.
(b)
Review decisions of the department pursuant to ORS 427.300 (2) when the resident,
parent of the resident, guardian or person entitled to custody has appealed the
decision and advised the director regarding the appropriateness of the
decision.
(c)
Annually review state training center plans for continuing residential care and
training of residents pursuant to ORS 427.020.
(5)
The board shall operate pursuant to rules adopted by the department. [1979
c.683 §11; 1989 c.1006 §3; 2007 c.70 §220; 2009 c.11 §61; 2011 c.658 §11]
427.210 [1959
c.331 §1; 1965 c.339 §13; 1973 c.827 §44; repealed by 1979 c.683 §37]
INVOLUNTARY COMMITMENTS OF PERSONS WITH INTELLECTUAL
DISABILITIES
427.215 Need for commitment.
For the purposes of ORS 427.061 and 427.235 to 427.290, a person with an
intellectual disability is in need of commitment for residential care,
treatment and training if the person is either:
(1)
Dangerous to self or others; or
(2)
Unable to provide for the person’s basic personal needs and not receiving care
as is necessary for the health, safety or habilitation of the person. [1979
c.683 §16; 2001 c.104 §153; 2011 c.658 §12]
427.220 [1959
c.331 §2; 1961 c.661 §17; 1965 c.339 §14; 1973 c.277 §1; 1979 c.683 §7;
renumbered 427.175]
427.225 [1961
c.661 §19; 1965 c.339 §15; 1973 c.277 §2; 1979 c.683 §9; renumbered 427.185]
427.230 [1959
c.331 §6; 1965 c.339 §16; 1973 c.277 §3; repealed by 1979 c.683 §37]
427.235 Notice to court of need for
commitment; investigation; report and recommendation.
(1) Any two persons may notify the court having probate jurisdiction for the
county or the circuit court, if it is not the probate court but its
jurisdiction has been extended to include commitment of a person with an
intellectual disability under ORS 3.275, that a person within the county has an
intellectual disability and is in need of commitment for residential care,
treatment and training. Such notice shall be in writing and sworn to before an
officer qualified to administer an oath and shall set forth the facts
sufficient to show the need for investigation. The circuit court shall forward
notice to the community developmental disabilities program director in the
county if it finds the notice sufficient to show the need for investigation.
The director or the designee of the director shall immediately investigate to
determine whether the person has an intellectual disability and is in need of
commitment for residential care, treatment and training. However, if the
petition for commitment is from a state training center, the duties of the
community developmental disabilities program director under ORS 427.235 to
427.290 shall be the responsibility of the superintendent of the state training
center or the designee of the superintendent.
(2)
Any person who acts in good faith shall not be held civilly liable for making
of the notification under subsection (1) of this section.
(3)
Any investigation conducted by the community developmental disabilities program
director or the designee of the director under subsection (1) of this section
shall commence with an interview or examination of the person alleged to have
an intellectual disability, where possible, in the home of the person or other
place familiar to the person. Further investigation if warranted shall include
a diagnostic evaluation as defined in ORS 427.105 and may also include interviews
with the person’s relatives, neighbors, teachers and physician. The
investigation shall also determine if any alternatives to commitment are
available. The investigator shall also determine and recommend to the court
whether the person is incapacitated and in need of a guardian or conservator.
(4)
The investigation report shall be submitted to the court within 30 days of
receipt of notice from the court. A copy of the investigation report and
diagnostic evaluation, if any, shall also be made available to the
Developmental Disability Diagnosis and Evaluation Service and to the person
alleged to have an intellectual disability and, if the person is a minor or
incapacitated, to the parents or guardian of the person as soon as possible
after its completion but in any case prior to a hearing held under ORS 427.245.
(5)
Any person conducting an evaluation or investigation under this section shall
in no way be held civilly liable for conducting the investigation or performing
the diagnostic evaluation.
(6)
If requested by a person conducting an investigation under this section, a
physician who has examined the person alleged to have an intellectual
disability may, with patient authorization or in response to a court order,
provide any relevant information the physician has regarding the person alleged
to have an intellectual disability. [1979 c.683 §17; 2003 c.89 §4; 2009 c.595 §442;
2011 c.658 §13]
427.240 [1959
c.331 §3; 1965 c.339 §17; 1969 c.391 §10; 1973 c.277 §4; repealed by 1979 c.683
§37]
427.245 Hearing; citation to appear; notice;
right to legal counsel. (1) If the court, following
receipt of an investigation report under ORS 427.235, concludes that there is
probable cause to believe that the subject of the investigation has an
intellectual disability and is in need of commitment for residential care,
treatment and training, it shall, through the issuance of a citation as
provided in subsection (2) of this section, cause the person to be brought
before it at such time and place as it may direct for a hearing to determine
whether the person has an intellectual disability and is in need of commitment
for residential care, treatment and training. The person shall be given the
opportunity to appear at the hearing. If the person is detained pursuant to ORS
427.255, the court shall hold the hearing within seven judicial days.
(2)
Upon a determination under subsection (1) of this section that probable cause
exists to believe that the person has an intellectual disability and is in need
of commitment for residential care, treatment and training, the court shall
cause a citation to issue to the person or, if the person is a minor or
incapacitated, to the parent or legal guardian of the person. The citation
shall state the specific reasons the person is believed to be in need of
commitment for residential care, treatment and training. The citation shall
also contain a notice of the time and place of the commitment hearing, the
right to legal counsel, the right to have legal counsel appointed if the person
is unable to afford legal counsel, the right to have legal counsel appointed
immediately if so requested, the right to subpoena witnesses in behalf of the
person to testify at the hearing, the right to cross-examine all witnesses and
such other information as the court may direct. The citation shall be served on
the person by the community developmental disabilities program director or the
designee of the director delivering a duly certified copy of the original to
the person prior to the hearing. The person, the parents of the person or the
legal guardian of the person shall have the opportunity to consult with legal
counsel prior to being brought before the court. The community developmental
disabilities program director or the designee of the director shall advise the
person of the purpose of the citation and the possible consequences of the
proceeding. [1979 c.683 §18; 1989 c.242 §1; 2009 c.595 §443; 2011 c.658 §14]
427.250 [1959
c.331 §4; 1965 c.339 §18; 1969 c.391 §11; repealed by 1979 c.683 §37]
427.255 Detention prior to investigation
or hearing; care and maintenance while under custody.
(1) If the court finds that there is probable cause to believe that the failure
to take into custody pending an investigation or hearing a person alleged to
have an intellectual disability and be in need of commitment for residential
care, treatment and training would pose an imminent and serious danger to the
person or to others, the court may issue a warrant of detention to either the
community developmental disabilities program director or the sheriff of the
county directing that the director, the sheriff or the designee of the director
or sheriff take the person into custody and produce the person at the time and
place stated in the warrant. At the time the person is taken into custody, the
custodian shall advise the person or, if the person is incapacitated or a
minor, the parents or guardian of the person of the person’s right to counsel,
to have legal counsel appointed if the person is unable to afford legal
counsel, and, if requested, to have legal counsel appointed immediately.
(2)
A person taken into custody under subsection (1) of this section shall be
provided all care, custody, evaluation and treatment required for the mental
and physical health and safety of the person and the director of the facility
retaining custody shall report any care, custody, evaluation or treatment
provided the person to the court as required by ORS 427.280. Any diagnostic
evaluation performed on such person shall be consistent with Department of
Human Services rules and ORS 427.105. Any prescription or administration of
drugs shall be the sole responsibility of the treating physician. The person
shall have the right to the least hazardous treatment procedures while in
custody, and the treating physician shall be notified immediately of the use of
any mechanical restraints on the person. A note of each use of mechanical
restraint and the reasons therefor shall be made a part of the person’s
clinical record over the signature of the treating physician. [1979 c.683 §19;
2009 c.595 §444; 2011 c.658 §15]
427.260 [1959
c.331 §5; 1965 c.339 §19; 1973 c.277 §5; repealed by 1979 c.683 §37]
427.265 Court to advise person of nature
of proceeding and rights; appointment of legal counsel.
(1) At the time that a person who is alleged to have an intellectual disability
and to be in need of commitment for residential care, treatment and training is
brought before the court, the court shall advise the person of the reason for
being brought before the court, the nature of the proceedings and the possible
results of the proceedings. The court shall also advise the person of the right
to subpoena witnesses and to suitable legal counsel possessing skills and
experience commensurate with the nature of the allegations and complexity of
the case during the proceedings, and that if the person does not have funds
with which to retain suitable legal counsel, the court shall appoint such legal
counsel to represent the person. If the person does not request legal counsel,
the legal guardian, relative or friend may request the assistance of legal
counsel on behalf of the person.
(2)
If no request for legal counsel is made, the court shall appoint suitable legal
counsel.
(3)
If the person is unable to afford legal counsel, the court, if the matter is
before a county or justice court, or the public defense services executive
director, if the matter is before the circuit court, shall determine and allow,
as provided in ORS 135.055, the reasonable expenses of the person and
compensation for legal counsel. The expenses and compensation so allowed by a
county court shall be paid by the county of residence of the person. The
expenses and compensation determined by the public defense services executive
director shall be paid by the public defense services executive director from
funds available for the purpose. In all cases legal counsel shall be present at
the hearing and may examine all witnesses offering testimony, and otherwise
represent the person.
(4)
The court may, for good cause, postpone the hearing for not more than 72 hours
to allow preparation for the hearing and order the continuation of detention
authorized under ORS 427.255 during a postponement, if requested by the person,
the legal counsel, parent or guardian of the person, an examiner or on the
court’s own motion. [1979 c.683 §20; 1979 c.867 §13; 1981 s.s. c.3 §135; 2001
c.962 §71; 2011 c.658 §16]
427.270 Report of diagnostic evaluation;
recommendations of examining facility; appointment of persons to conduct
additional examination. (1) The examining facility
conducting the diagnostic evaluation shall make its report in writing to the
court. Where components of the diagnostic evaluation have been performed within
the previous year according to Department of Human Services rules and ORS
427.105, and the records of the evaluation are available to the examining
facility pursuant to ORS 179.505 and department rules, the results of such
evaluation may be introduced in court in lieu of repetition of those components
by the examining facility. If the facility finds, and shows by its report, that
the person examined has an intellectual disability and is in need of commitment
for residential care, treatment and training, the report shall include a
recommendation as to the type of treatment or training facility most suitable
for the person. The report shall also advise the court whether in the opinion
of the examining facility the person and, if the person is a minor or
incapacitated, the parents or legal guardian of the person would cooperate with
voluntary treatment or training and whether the person would benefit either
from voluntary treatment or training or from appointment of a legal guardian or
conservator.
(2)
Upon request by the person or the parent, legal guardian or legal counsel of
the person, the court shall appoint an additional physician or psychologist, or
both, to examine the person and make separate reports in writing to the court.
However, the court shall not appoint more than one additional physician and one
additional psychologist to examine the person. [1979 c.683 §21; 2011 c.658 §17]
427.275 Fees of persons appointed by court
to perform diagnostic evaluations; payment by counties; witnesses; fees; costs.
(1) Any physician or psychologist employed by the court to make a diagnostic
evaluation of a person alleged to have an intellectual disability and to be in
need of commitment for residential care, treatment and training, shall be
allowed a fee as the court in its discretion determines reasonable for the
evaluation. The costs of the evaluation shall be paid by the county of
residence of the person or, if the person has no residence within the state, by
the county in which the person is taken into custody. The county shall not be
held responsible for the costs of prior examinations or tests reported to the
court, or of diagnostic evaluations performed or arranged by the community
developmental disabilities program or Department of Human Services.
(2)
Witnesses subpoenaed to give testimony shall receive the same fees as are paid
in criminal cases and are subject to compulsory attendance in the same manner
as provided in ORS 136.567 to 136.603. The attendance of out-of-state witnesses
may be secured in the same manner as provided in ORS 136.623 to 136.637. The
party who subpoenas the witness or requests the court to subpoena the witness
is responsible for payment of the cost of the subpoena and payment for the
attendance of the witness at a hearing. When the witness has been subpoenaed on
behalf of a person who is represented by appointed counsel, the fees and costs
allowed for that witness shall be paid pursuant to ORS 135.055. [1979 c.683 §31;
1987 c.606 §10; 2001 c.962 §72; 2009 c.595 §445; 2011 c.658 §18]
427.280 Treatment given after citation
issued; notice to court. The community developmental
disabilities program director or, if a person has been detained under ORS
427.255, the director of the facility retaining custody of a person alleged to
be in need of commitment for residential care, treatment and training shall
fully advise the court of all treatment known to have been administered to the
person after a citation has been issued to the person. [1979 c.683 §22; 2009
c.595 §446; 2011 c.658 §19]
427.285 Witnesses required at hearing;
cross-examination. The investigator and other
appropriate persons or professionals as necessary shall appear at the hearing
and present the evidence. The person alleged to have an intellectual disability
and to be in need of commitment for residential care, treatment and training
shall have the right to cross-examine all witnesses, the investigator and the
representative. [1979 c.683 §23; 2011 c.658 §20]
427.290 Determination by court of need for
commitment; discharge; conditional release; commitment; appointment of guardian
or conservator. After hearing all of the
evidence, and reviewing the findings of the investigation and other examiners,
the court shall determine whether the person has an intellectual disability and
because of the intellectual disability is either dangerous to self or others or
is unable to provide for the personal needs of the person and is not receiving
care as is necessary for the health, safety or habilitation of the person. If
in the opinion of the court the person is not in need of commitment for
residential care, treatment and training, the person shall be discharged. If in
the opinion of the court the person has, by clear and convincing evidence, an
intellectual disability and is in need of commitment for residential care,
treatment and training, the court may order as follows:
(1)
If the person can give informed consent and is willing and able to participate
in treatment and training on a voluntary basis, and the court finds that the
person will do so, the court shall order release of the person and dismiss the
case.
(2)
If a relative, a friend or legal guardian of the person requests that the
relative, friend or legal guardian be allowed to care for the person for a
period of one year in a place satisfactory to the court and shows that the relative,
friend or legal guardian is able to care for the person and that there are
adequate financial resources available for the care of the person, the court
may commit the person and order that the person be conditionally released and
placed in the care and custody of the relative, friend or legal guardian. The
order may be revoked and the person committed to the Department of Human
Services for the balance of the year whenever, in the opinion of the court, it
is in the best interest of the person.
(3)
If in the opinion of the court voluntary treatment and training or conditional
release is not in the best interest of the person, the court may order the
commitment of the person to the department for care, treatment or training. The
commitment shall be for a period not to exceed one year with provisions for
continuing commitment pursuant to ORS 427.020.
(4)
If in the opinion of the court the person may be incapacitated, the court may
appoint a legal guardian or conservator pursuant to ORS chapter 125. The
appointment of a guardian or conservator shall be a separate order from the
order of commitment. [1979 c.683 §24; 1995 c.664 §97; 2011 c.658 §21]
427.293 Disclosure of record of
proceeding. (1) In any proceeding conducted under
ORS 427.235 to 427.290, the court may not disclose any part of the record,
including any report submitted to the court under ORS 427.270 to any person
except:
(a)
The court shall, pursuant to rules adopted by the Department of State Police,
transmit the minimum information necessary, as defined in ORS 181.740, to the
Department of State Police for persons described in ORS 181.740 (1)(c) to
enable the department to maintain the information and transmit the information
to the federal government as required under federal law;
(b)
On request of the person subject to the proceeding;
(c)
On request of the person’s legal representative or the attorney for the person
or the state; or
(d)
Pursuant to court order.
(2)
In any proceeding described in subsection (1) of this section that is before
the Supreme Court or the Court of Appeals, the limitations on disclosure
imposed by this section apply to the appellate court record and to the trial
court record while it is in the appellate court’s custody. The appellate court
may disclose information from the trial or appellate court record in a
decision, as defined in ORS 19.450, provided that the court uses initials, an
alias or some other convention for protecting against public disclosure the
identity of the person who is alleged to have mental retardation. [1999 c.82 §2;
2009 c.826 §3; 2011 c.332 §§3,6b; 2011 c.547 §46]
427.295 Appeal of commitment order;
appointment of legal counsel; costs. If a person
appeals a commitment order issued under ORS 427.290, the court, upon request of
the person or upon its own motion and upon finding that the person is
financially eligible for appointed counsel at state expense, shall appoint
suitable legal counsel to represent the person. The compensation for legal
counsel and costs and expenses necessary to the appeal shall be determined and
paid by the public defense services executive director as provided in ORS
135.055 if the circuit court is the appellate court or as provided in ORS
138.500 if the Court of Appeals or Supreme Court is the appellate court. The
compensation, costs and expenses so allowed shall be paid as provided in ORS
138.500. [1979 c.867 §15; 1981 s.s. c.3 §136; 1985 c.502 §26; 2001 c.962 §73;
2011 c.658 §22]
427.300 Assignment to appropriate
facility; notice of transfer or discharge; appeal; hearing.
(1) The Department of Human Services may, at its discretion, direct any person
with an intellectual disability who has been committed under ORS 427.290 to the
facility best able to treat and train the person. The authority of the
department on such matters shall be final.
(2)
At any time, for good cause and in the best interest of the person, the
department may decide to transfer a resident from one facility to another or
discharge a resident as no longer in need of residential care, treatment or
training in a state training center. Fifteen days prior to department action,
the department shall notify the resident and the parent, guardian or person
entitled to custody of the resident by certified mail of its decision. The
notice shall indicate the right of the aforementioned parties to appeal this
decision to the State Training Center Review Board in writing within 10 days
after receipt of notice. Within 30 days from the date the appeal is received by
the department, the State Training Center Review Board shall hold a hearing at
which the department and the person having filed the appeal shall present their
case and shall communicate its recommendation to the Director of Human Services
pursuant to ORS 427.205 (4)(b); and the director shall communicate the decision
of the director by certified mail to the appealing party.
(3)
The department, pursuant to its rules, may delegate to a community
developmental disabilities program director the responsibility for assignment
of persons with intellectual disabilities to suitable facilities or transfer
between such facilities under conditions which the department may define. Any
voluntary client or resident shall be released from the treating or training
facility within 15 business days of the request of the client or resident for
release, unless commitment procedures are initiated under ORS 427.235. [1979
c.683 §25; 2009 c.595 §447; 2011 c.658 §23]
427.305 [1973
c.585 §2; 1979 c.683 §33; renumbered 427.051]
427.306 Confinement of committed persons
with intellectual disabilities in least restrictive setting; attendants
required. (1) A person, not incarcerated upon a
criminal charge, who has been alleged or adjudged to have an intellectual
disability and to be in need of commitment for residential care, treatment and
training, may not be confined in any prison, jail or other enclosure where
those charged with a crime or a violation of a municipal ordinance are
incarcerated.
(2)
A person alleged or adjudged to have an intellectual disability and to be in need
of commitment for residential care, treatment and training, who is not
incarcerated on a criminal charge, may not be confined without an attendant in
charge of the person. If the person is not confined in a community hospital,
the community developmental disabilities program director or sheriff having the
person in custody shall select some suitable person to act as attendant in
quarters suitable for the comfortable, safe and humane confinement of the
person. The person shall be detained in the least restrictive setting
consistent with the person’s emotional and physical needs and the protection of
others. [1979 c.683 §26; 2009 c.595 §448; 2011 c.658 §24]
427.310 [1973
c.585 §3; repealed by 1979 c.683 §37]
427.315 [1973
c.585 §6; repealed by 1979 c.683 §37]
427.320 [1973
c.585 §4; repealed by 1979 c.683 §37]
427.325 [1973
c.585 §5; repealed by 1979 c.683 §37]
COMMUNITY HOUSING
427.330 Definitions for ORS 427.330 to
427.345. As used in ORS 427.330 to 427.345:
(1)
“Care provider” means an individual, family member or entity that provides
care.
(2)(a)
“Community housing” includes:
(A)
Real property, including but not limited to buildings, structures, improvements
to real property and related equipment, that is used or could be used to house
and provide care for individuals with intellectual disabilities or other
developmental disabilities; and
(B)
A single-family home or multiple-unit residential housing that an individual
with an intellectual disability or other developmental disability shares with
other inhabitants, including but not limited to family members, care providers
or friends.
(b)
“Community housing” does not include the Eastern Oregon Training Center.
(3)
“Construct” means to build, install, assemble, expand, alter, convert, replace
or relocate. “Construct” includes to install equipment and to prepare a site.
(4)
“Equipment” means furnishings, fixtures, appliances, special adaptive equipment
or supplies that are used or could be used to provide care in community
housing.
(5)
“Family member” means an individual who is related by blood or marriage to an
individual with an intellectual disability or other developmental disability.
(6)
“Financial assistance” means a grant or loan to pay expenses incurred to
provide community housing.
(7)
“Housing provider” means an individual or entity that provides community
housing. [1999 c.753 §2; 2001 c.900 §130; 2007 c.70 §221; 2011 c.658 §25]
427.335 Authority of department to develop
community housing; sale of community housing; conditions; financial assistance
to providers. (1) The Department of Human Services
may, through contract or otherwise, acquire, purchase, receive, hold, exchange,
operate, demolish, construct, lease, maintain, repair, replace, improve and
equip community housing for the purpose of providing care to individuals with
intellectual disabilities or other developmental disabilities.
(2)
The department may dispose of community housing acquired under subsection (1)
of this section in a public or private sale, upon such terms and conditions as
the department considers advisable to increase the quality and quantity of
community housing for individuals with intellectual disabilities or other
developmental disabilities. The department may include in any instrument
conveying fee title to community housing language that restricts the use of the
community housing to provide care for individuals with intellectual
disabilities or other developmental disabilities. Such restriction is not a
violation of ORS 93.270. Any instrument conveying fee title to community
housing under this subsection shall provide that equipment in the community
housing is a part of and shall remain with the real property unless such
equipment was modified or designed specifically for an individual’s use, in
which case such equipment shall follow the individual.
(3)
The department may provide financial assistance to a housing provider or a care
provider that wishes to provide community housing for individuals with
intellectual disabilities or other developmental disabilities under rules
promulgated by the department.
(4)
The department may transfer its ownership of equipment to care providers.
(5)
When exercising the authority granted to the department under this section, the
department is not subject to ORS 276.900 to 276.915 or 279A.250 to 279A.290 or
ORS chapters 270 and 273. [1999 c.753 §3; 2003 c.794 §282; 2007 c.70 §222; 2011
c.658 §26]
427.340 Developmental Disabilities
Community Housing Fund; Community Housing Trust Account; reports.
(1) There is established a Developmental Disabilities Community Housing Fund in
the State Treasury, separate and distinct from the General Fund. All moneys in
the fund are continuously appropriated to the Department of Human Services to
pay expenses incurred by the Department of Human Services in carrying out the
provisions of ORS 427.330 and 427.335. Interest earned on moneys in the fund
shall be credited to the fund.
(2)
There is established within the fund a Community Housing Trust Account.
Notwithstanding the provisions of ORS 270.150, the Department of Human Services
shall negotiate with the Oregon Department of Administrative Services to apply
the proceeds from the sale, transfer or lease of any surplus real property
owned, operated or controlled by the Department of Human Services and used as a
state training center to the account. The Department of Human Services may
expend, for the purposes of ORS 427.330 to 427.345, any earnings credited to
the account, including any income from the lease of surplus property and any interest
earned on moneys deposited in the account, and up to five percent of any sale
or transfer proceeds initially credited to the account by the Oregon Department
of Administrative Services. At least 95 percent of all sale or transfer
proceeds shall remain in the account in perpetuity.
(3)
The fund shall consist of:
(a)
Moneys appropriated to the fund by the Legislative Assembly;
(b)
Repayment of financial assistance provided to housing providers or care
providers for community housing under ORS 427.335 (3);
(c)
Proceeds from the account under subsection (2) of this section;
(d)
Moneys reallocated from other areas of the Department of Human Services’
budget; and
(e)
Interest credited to the fund.
(4)
The Department of Human Services shall provide a report of revenues to and
expenditures from the fund as part of its budget submission to the Governor and
Legislative Assembly under ORS chapter 291. [1999 c.753 §4; 2001 c.954 §32]
427.345 Sale of state training center;
fair market value; use of proceeds. (1) When the
Department of Human Services sells any surplus real property owned by the
department and used as a state training center, the sale price shall equal or
exceed the fair market value of the property.
(2)
The proceeds from the sale of any real property owned by the department and
used as a state training center shall be applied under the provisions of ORS
427.340 (2). [1999 c.753 §5]
SUPPORT SERVICES FOR ADULTS
427.400 Definitions.
As used in this section and ORS 427.402 and 427.410:
(1)
“Adult” means an individual who is 18 years of age or older.
(2)
“Community living and inclusion supports” means services that may or may not be
work-related and includes services designed to develop or maintain the
individual’s skills in the following areas:
(a)
Eating, bathing, dressing, personal hygiene, mobility and other personal needs;
(b)
Self-awareness and self-control, social responsiveness, social amenities,
interpersonal skills, interpersonal relationships and social connections;
(c)
Community participation, recreation and the ability to use available community
services, facilities or businesses;
(d)
Expressive and receptive skills in verbal and nonverbal language, the
functional application of acquired reading and writing skills and other communication
needs; and
(e)
Planning and preparing meals, budgeting, laundering, housecleaning and other
personal environmental needs.
(3)
“Comprehensive services” means a package of services, other than support
services for adults, that is provided by or under the direction of a community
developmental disabilities program and that includes at least one of the
following living arrangements licensed or regulated by the Department of Human
Services:
(a)
Twenty-four-hour residential care, including but not limited to a group home, a
foster home or a supported living program.
(b)
Assistance provided to maintain an individual in the individual’s own home or
the home of the individual’s family and that costs more than an amount
specified by the department by rule.
(4)
“Employment services” means services provided to develop or maintain the skills
necessary for an individual to obtain and retain employment, including job
assessment, job exploration, job development, job training, job coaching, work
skills, and ongoing supports.
(5)
“Environmental accessibility adaptations” means physical modifications to an
individual’s home that are necessary to ensure the health, welfare and safety
of the individual in the home, or that enable the individual to function with greater
independence in the home.
(6)
“Individualized written service plan” means a plan described in ORS 430.210
(1)(a), (b) and (c) that identifies the resources, services and purchases
necessary for an individual with a developmental disability to achieve
identified personal goals and maximize self-determination.
(7)
“Person-centered planning” means an informal or formal process for gathering
and organizing information that helps an individual to:
(a)
Enhance self-determination by choosing personal goals and lifestyle
preferences;
(b)
Design strategies and networks of support to achieve personal goals and a
preferred lifestyle using individual strengths, relationships and resources;
and
(c)
Identify, use and strengthen naturally occurring opportunities for support in
the home and in the community.
(8)
“Self-determination” means empowering individuals to:
(a)
Select and plan, together with freely-chosen family members and friends, the
support services for adults that are necessary instead of purchasing a
predefined program or package of services;
(b)
Control the expenditure of available financial assistance in order to purchase
support services for adults, with the help of a social support network if
needed;
(c)
Live an autonomous life in the community, rich in community affiliations,
through formal or informal arrangements of resources and personnel; and
(d)
Have a valued role in the community through competitive employment,
organizational affiliations, personal development and general caring for others
in the community, and to be accountable for spending public dollars in ways
that are life-enhancing for the individual.
(9)(a)
“Specialized medical equipment and supplies” means:
(A)
Devices, aids, controls, supplies or appliances that enable individuals:
(i)
To increase their ability to perform activities of daily living; or
(ii)
To perceive, control or communicate with the environment in which they live;
(B)
Items necessary for life support, including ancillary supplies and equipment
necessary to the proper functioning of these items; and
(C)
Medical equipment not available in the medical assistance program.
(b)
“Specialized medical equipment and supplies” does not include items that have
no direct medical or remedial benefit to the individual.
(10)
“Specialized supports” means treatment, training, consultation or other unique
services that are not available through the medical assistance program but are
necessary to achieve the goals identified in the individualized written service
plan, or other support services for adults prescribed by the department by
rule.
(11)
“Support service brokerage” means an entity that contracts with the department
to provide or to arrange for support services for adults.
(12)
“Support services for adults” means the services for adults with developmental
disabilities provided by a support service brokerage under ORS 427.402 and
427.410. [2011 c.658 §1]
427.402 Individualized written service plan;
requirements; rules. (1) Support services for adults
are intended to meet the needs of adults with developmental disabilities and to
prevent or delay their need for comprehensive services. The Department of Human
Services shall establish by rule the application and eligibility determination
processes for support services for adults.
(2)
Support services for adults shall be provided through a support service
brokerage and pursuant to an individualized written service plan that is
developed and reassessed at least annually using a person-centered planning
process.
(3)
The department shall ensure that each individual receiving support services for
adults has an active role in choosing the services, activities and purchases
that will best meet the individual’s needs and preferences and to express those
choices verbally, using sign language or by other appropriate methods of
communication.
(4)
The services, activities and purchases available as support services for adults
include, but are not limited to:
(a)
Community living and inclusion supports that facilitate independence and
promote community integration by supporting the individual to live as
independently as possible;
(b)
Employment services;
(c)
Environmental accessibility adaptations;
(d)
Specialized supports; and
(e)
Specialized medical equipment and supplies.
(5)
Support services for adults must complement the existing formal and informal
supports, services, activities and purchases available to an adult living in
the adult’s own home or the home of the adult’s family.
(6)
The department shall ensure that each individual has the opportunity to confirm
satisfaction with the support services for adults that the individual receives
and to makes changes in the services as necessary. [2011 c.658 §2]
427.410 Support service brokerages.
(1) The Department of Human Services shall enter into contracts with support
service brokerages to deliver support services for adults in a manner that
features regional consolidation, administrative efficiency, cost-effectiveness
and strong consumer and family oversight.
(2)
Individuals who receive support services for adults and their family members
shall have formal, significant, continuing roles in advising the department and
support service brokerages regarding the design, implementation and quality
assurance of the support services for adults delivery system. [2011 c.658 §3]
427.450 Application of savings generated
by support service brokerages. The
Department of Human Services shall apply any savings generated by support
service brokerages developed under the Staley Settlement Agreement to provide
services to individuals who are awaiting adult developmental disability support
services and who are not receiving any services. [Formerly 430.218]
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