Source: http://apps.leg.wa.gov/RCW/default.aspx?cite=71.32&full=true
Timestamp: 2018-10-23 00:54:41
Document Index: 488175528

Matched Legal Cases: ['§ 1', '§ 3', '§ 4', '§ 409', '§ 6', '§ 7', '§ 423', '§ 5', '§ 8', '§ 9', '§ 410', '§ 10', '§ 12', '§ 13', '§ 424', '§ 14', '§ 12', '§ 2', '§ 14', '§ 14', '§ 424', '§ 1', '§ 425', '§ 15', '§ 16', '§ 411', '§ 18', '§ 19', '§ 412', '§ 20', '§ 21', '§ 22', '§ 23', '§ 24', '§ 161']

Chapter 71.32 RCW: MENTAL HEALTH ADVANCE DIRECTIVES
RCWs > Title 71 > Chapter 71.32
71.32.010 Legislative declaration—Findings.
71.32.050 Execution of directive—Scope.
71.32.060 Execution of directive—Elements—Effective date—Expiration.
71.32.080 Revocation—Waiver.
71.32.130 Determination of capacity—Reevaluations of capacity.
71.32.140 Refusal of admission to inpatient treatment—Effect of directive.
71.32.150 Compliance with directive—Conditions for noncompliance.
71.32.170 Providers—Immunity from liability—Conditions.
71.32.180 Multiple directives, agents—Effect—Disclosure of court orders.
71.32.190 Preexisting, foreign directives—Validity.
71.32.200 Fraud, duress, undue influence—Appointment of guardian.
71.32.250 Long-term care facility residents—Readmission after inpatient mental health treatment—Evaluation, report to legislature.
71.32.902 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.
71.32.010
Legislative declaration—Findings.
(b) During periods when an individual's capacity is unclear, the individual may be unable to access needed treatment because the individual may be unable to give informed consent;
(d) There must be clear standards so that treatment providers can readily discern an individual's treatment choices.
[ 2003 c 283 § 1.]
71.32.020
71.32.030
[ 2003 c 283 § 3.]
71.32.040
[ 2003 c 283 § 4.]
71.32.050
71.32.060
Execution of directive—Elements—Effective date—Expiration.
(c) Be dated and signed by the principal or at the principal's direction in the principal's presence if the principal is unable to sign;
(2) A directive that includes the appointment of an agent pursuant to a power of attorney under chapter 11.125 RCW shall contain the words "This power of attorney shall not be affected by the incapacity of the principal," or "This power of attorney shall become effective upon the incapacity of the principal," or similar words showing the principal's intent that the authority conferred shall be exercisable notwithstanding the principal's incapacity.
[ 2016 c 209 § 409; 2003 c 283 § 6.]
71.32.070
(3) Obligate any health care provider, professional person, or health care facility to be responsible for the nontreatment personal care of the principal or the principal's personal affairs outside the scope of services the facility normally provides;
[ 2003 c 283 § 7.]
71.32.080
Revocation—Waiver.
(1)(a) A principal with capacity may, by written statement by the principal or at the principal's direction in the principal's presence, revoke a directive in whole or in part.
(a) As to a health care provider, professional person, or health care facility, upon receipt. The professional person, health care provider, or health care facility, or persons acting under their direction shall make the statement of revocation part of the principal's medical record; and
(b) As to the principal's agent, upon receipt. The principal's agent shall notify the principal's health care provider, professional person, or health care facility of the revocation and provide them with a copy of the written statement of revocation.
(b) Be superseded or revoked by a court order, including any order entered in a criminal matter. A directive may be superseded by a court order regardless of whether the order contains an explicit reference to the directive. To the extent a directive is not in conflict with a court order, the directive remains effective, subject to the provisions of RCW 71.32.150. A directive shall not be interpreted in a manner that interferes with: (i) Incarceration or detention by the department of corrections, in a city or county jail, or by the department of social and health services; or (ii) treatment of a principal who is subject to involuntary treatment pursuant to chapter 10.77, 71.05, 71.09, or 71.34 RCW.
[ 2016 sp.s. c 29 § 423; 2006 c 108 § 5; 2003 c 283 § 8.]
71.32.090
(1) A person designated to make health care decisions on the principal's behalf;
(5) A person who is declared to be an incapacitated person; or
(6) A person who would benefit financially if the principal making the directive undergoes mental health treatment.
[ 2003 c 283 § 9.]
71.32.100
(1) If a directive authorizes the appointment of an agent, the provisions of chapter 11.125 RCW and RCW 7.70.065 shall apply unless otherwise stated in this chapter.
(4) An agent may make decisions on behalf of the principal. Unless the principal has revoked the directive, the decisions must be consistent with the instructions and preferences the principal has expressed in the directive, or if not expressed, as otherwise known to the agent. If the principal's instructions or preferences are not known, the agent shall make a decision he or she determines is in the best interest of the principal.
(5) Except to the extent the right is limited by the appointment or any federal or state law, the agent has the same right as the principal to receive, review, and authorize the use and disclosure of the principal's health care information when the agent is acting on behalf of the principal and to the extent required for the agent to carry out his or her duties. This subsection shall be construed to be consistent with chapters 70.02, 70.24, *70.96A, 71.05, and 71.34 RCW, and with federal law regarding health care information.
(9) Unless otherwise provided in the durable power of attorney, the principal may revoke the agent's appointment as provided under other state law.
[ 2016 c 209 § 410; 2003 c 283 § 10.]
71.32.110
71.32.120
A principal may bring an action to contest the validity of his or her directive. If an action under this section is commenced while an action to determine the principal's capacity is pending, the court shall consolidate the actions and decide the issues simultaneously.
[ 2003 c 283 § 12.]
71.32.130
Determination of capacity—Reevaluations of capacity.
(1) An initial determination of capacity must be completed within forty-eight hours of a request made by a person authorized in RCW 71.32.110. During the period between the request for an initial determination of the principal's capacity and completion of that determination, the principal may not be treated unless he or she consents at the time or treatment is otherwise authorized by state or federal law.
(2)(a)(i) When an incapacitated principal is admitted to inpatient treatment pursuant to the provisions of his or her directive, his or her capacity must be reevaluated within seventy-two hours or when there has been a change in the principal's condition that indicates that he or she appears to have regained capacity, whichever occurs first.
(ii) When an incapacitated principal has been admitted to and remains in inpatient treatment for more than seventy-two hours pursuant to the provisions of his or her directive, the principal's capacity must be reevaluated when there has been a change in his or her condition that indicates that he or she appears to have regained capacity.
(iii) When a principal who is being treated on an inpatient basis and has been determined to be incapacitated requests, or his or her agent requests, a redetermination of the principal's capacity the redetermination must be made within seventy-two hours.
(b) When a principal who does not have an agent for mental health treatment decisions is being treated in an inpatient facility and requests a determination or redetermination of capacity, the mental health professional or health care provider must complete the determination or, if the principal is seeking a determination from a court, must make reasonable efforts to notify the person authorized to make decisions for the principal under RCW 7.70.065 of the principal's request.
[ 2003 c 283 § 13.]
71.32.140
Refusal of admission to inpatient treatment—Effect of directive.
(b) Consented to voluntary admission to inpatient mental health treatment, or authorized an agent to consent on the principal's behalf; and
(c) At the time of admission to inpatient treatment, refuses to be admitted,
may only be admitted into inpatient mental health treatment under subsection (2) of this section.
(2) A principal may only be admitted to inpatient mental health treatment under his or her directive if, prior to admission, a member of the treating facility's professional staff who is a physician, physician assistant, or psychiatric advanced registered nurse practitioner:
(a) Evaluates the principal's mental condition, including a review of reasonably available psychiatric and psychological history, diagnosis, and treatment needs, and determines, in conjunction with another health care provider or mental health professional, that the principal is incapacitated;
(d) Documents in the principal's medical record a summary of the physician's, physician assistant's, or psychiatric advanced registered nurse practitioner's findings and recommendations for treatment or evaluation.
(3) In the event the admitting physician is not a psychiatrist, the admitting physician assistant is not supervised by a psychiatrist, or the advanced registered nurse practitioner is not a psychiatric advanced registered nurse practitioner, the principal shall receive a complete psychological assessment by a mental health professional within twenty-four hours of admission to determine the continued need for inpatient evaluation or treatment.
(4)(a) If it is determined that the principal has capacity, then the principal may only be admitted to, or remain in, inpatient treatment if he or she consents at the time or is detained under the involuntary treatment provisions of chapter 71.05 or 71.34 RCW.
(5) If, at the end of the period of time that the principal or the principal's agent, if any, has consented to voluntary inpatient treatment, but no more than fourteen days after admission, the principal has not regained capacity or has regained capacity but refuses to consent to remain for additional treatment, the principal must be released during reasonable daylight hours, unless detained under chapter 71.05 or 71.34 RCW.
[ 2016 sp.s. c 29 § 424; 2016 c 155 § 14; 2009 c 217 § 12; 2004 c 39 § 2; 2003 c 283 § 14.]
Reviser's note: This section was amended by 2016 c 155 § 14 and by 2016 sp.s. c 29 § 424, each without reference to the other. Both amendments are incorporated in the publication of this section under RCW 1.12.025(2). For rule of construction, see RCW 1.12.025(1).
Finding—Intent—2004 c 39: "Questions have been raised about the intent of the legislature in cross-referencing RCW 71.05.050 without further clarification in RCW 71.32.140. The legislature finds that because RCW 71.05.050 pertains to a variety of rights as well as the procedures for detaining a voluntary patient for evaluation for civil commitment, and the legislature intended only to address the right of release upon request, there is ambiguity as to whether an incapacitated person admitted pursuant to his or her mental health advance directive and seeking release can be held for evaluation for civil commitment under chapter 71.05 RCW. The legislature therefore intends to clarify the ambiguity without making any change to its intended policy as laid out in chapter 71.32 RCW." [ 2004 c 39 § 1.]
71.32.150
Compliance with directive—Conditions for noncompliance.
(1) Upon receiving a directive, a health care provider, professional person, or health care facility providing treatment to the principal, or persons acting under the direction of the health care provider, professional person, or health care facility, shall make the directive a part of the principal's medical record and shall be deemed to have actual knowledge of the directive's contents.
(d) It is an emergency situation and compliance would endanger any person's life or health.
(3)(a) In the case of a principal committed or detained under the involuntary treatment provisions of chapter 10.77, 71.05, 71.09, or 71.34 RCW, those provisions of a principal's directive that, in the determination of the health care provider, professional person, or health care facility, are inconsistent with the purpose of the commitment or with any order of the court relating to the commitment are invalid during the commitment.
(b) Remaining provisions of a principal's directive are advisory while the principal is committed or detained.
(4) In the case of a principal who is incarcerated or committed in a state or local correctional facility, provisions of the principal's directive that are inconsistent with reasonable penological objectives or administrative hearings regarding involuntary medication are invalid during the period of incarceration or commitment. In addition, treatment may be given despite refusal of the principal or the provisions of the directive: (a) For any reason under subsection (2) of this section; or (b) if, without the benefit of the specific treatment measure, there is a significant possibility that the person will harm self or others before an improvement of the person's condition occurs.
(5)(a) If the health care provider, professional person, or health care facility is, at the time of receiving the directive, unable or unwilling to comply with any part or parts of the directive for any reason, the health care provider, professional person, or health care facility shall promptly notify the principal and, if applicable, his or her agent and shall document the reason in the principal's medical record.
(b) If the health care provider, professional person, or health care facility is acting under authority of a directive and is unable to comply with any part or parts of the directive for the reasons listed in subsection (2) or (3) of this section, the health care provider, professional person, or health care facility shall promptly notify the principal and if applicable, his or her agent, and shall document the reason in the principal's medical record.
[ 2016 sp.s. c 29 § 425; 2003 c 283 § 15.]
71.32.160
Where a principal consents in a directive to electroconvulsive therapy, the health care provider, professional person, or health care facility, or persons acting under the direction of the health care provider, professional person, or health care facility, shall document the therapy and the reason it was used in the principal's medical record.
[ 2003 c 283 § 16.]
71.32.170
71.32.180
Multiple directives, agents—Effect—Disclosure of court orders.
(a) The directive most recently created shall be treated as the principal's mental health treatment preferences and instructions as to any inconsistent or conflicting provisions, unless provided otherwise in either document.
(2) Where an incapacitated principal has appointed more than one agent under chapter 11.125 RCW with authority to make mental health treatment decisions, RCW 11.125.400 controls.
[ 2016 c 209 § 411; 2003 c 283 § 18.]
71.32.190
Preexisting, foreign directives—Validity.
[ 2003 c 283 § 19.]
71.32.200
Fraud, duress, undue influence—Appointment of guardian.
Any person with reasonable cause to believe that a directive has been created or revoked under circumstances amounting to fraud, duress, or undue influence may petition the court for appointment of a guardian for the person or to review the actions of the agent or person alleged to be involved in improper conduct under RCW 11.125.160 or 74.34.110.
[ 2016 c 209 § 412; 2003 c 283 § 20.]
71.32.210
[ 2003 c 283 § 21.]
71.32.220
[ 2003 c 283 § 22.]
71.32.230
[ 2003 c 283 § 23.]
71.32.240
[ 2003 c 283 § 24.]
71.32.250
71.32.260
71.32.902
[ 2009 c 521 § 161.]