Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION AND SERVICE STANDARDS FOR INVOLUNTARY BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT SERVICES › Section 246-341-1133 - Evaluation and treatment services-Service standards

Current through Register Vol. 24-14, July 15, 2024
(1) Evaluation and
				  treatment services are provided for individuals who are held for 120-hour
				  detention or on 14-day, 90-day, or 180-day civil commitment orders according to
				  chapters 71.05 and 71.34 RCW. An agency providing evaluation and treatment
				  services may choose to serve individuals who are held for 120-hour detention,
				  or on short-term commitment orders (14-day), long-term commitment orders
				  (90-day and 180-day), or all three. Agencies providing evaluation and treatment
				  services may also provide services for individuals who are not detained or
				  committed.
(2) An agency providing
				  evaluation and treatment services for youth must be a contracted child
				  long-term inpatient treatment facility (CLIP), except as specified in
				  subsection (4) of this section. The CLIP facility must develop a written plan
				  for assuring that services provided are appropriate to the developmental needs
				  of children, including all of the following:
(a) If there is not a child psychiatrist on
				  the staff, there must be a child psychiatrist available for
				  consultation.
(b) There must be a
				  psychologist with documented evidence of skill and experience in working with
				  children available either on the clinical staff or by consultation, responsible
				  for planning and reviewing psychological services and for developing a written
				  set of guidelines for psychological services.
(c) There must be a registered nurse, with
				  training and experience in working with psychiatrically impaired children, on
				  staff as a full-time or part-time employee who must be responsible for all
				  nursing functions.
(d) There must
				  be a social worker with experience in working with children on staff as a
				  full-time or part-time employee who must be responsible for social work
				  functions and the integration of these functions into the individual treatment
				  plan.
(e) There must be an
				  educational/vocational assessment of each resident with appropriate
				  educational/vocational programs developed and implemented or assured on the
				  basis of that assessment.
(f) There
				  must be an occupational therapist licensed under chapter 18.59 RCW available,
				  who has experience in working with psychia-trically impaired children,
				  responsible for occupational therapy functions and the integration of these
				  functions into treatment.
(g) There
				  must be a registered recreational therapist under chapter 18.230 RCW available,
				  who has had experience in working with psychiatrically impaired children,
				  responsible for the recreational therapy functions and the integration of these
				  functions into treatment.
(h)
				  Disciplinary policies and practices must be stated in writing and all of the
				  following must be true:
(i) Discipline must be
				  fair, reasonable, consistent, and related to the behavior of the resident.
				  Discipline, when needed, must be consistent with the individual treatment
				  plan.
(ii) Abusive, cruel,
				  hazardous, frightening, or humiliating disciplinary practices must not be used.
				  Seclusion and restraints must not be used as punitive measures. Corporal
				  punishment must not be used.
(iii)
				  Disciplinary measures must be documented in the individual service
				  record.
(i) Residents
				  must be protected from assault, abuse, and neglect. Suspected or alleged
				  incidents of nonaccidental injury, sexual abuse, assault, cruelty, or neglect
				  to a child must be reported to a law enforcement agency or to the department of
				  children, youth, and families and comply with chapter 26.44 RCW.
(j) Orientation material must be made
				  available to any facility personnel, clinical staff, or consultants informing
				  practitioners of their reporting responsibilities and requirements. Appropriate
				  local police department phone numbers must be available to personnel and
				  staff.
(k) When suspected or
				  alleged abuse is reported, the individual service record must reflect the fact
				  that an oral or written report has been made to the child protective services
				  of the department of children, youth, and families, or to a law enforcement
				  agency within the timelines identified in chapter 26.44 RCW. This note must
				  include the date and time that the report was made, the agency to which it was
				  made, and the signature of the person making the report. Contents of the report
				  need not be included in the individual service record.