reglab/statecodes huggingface dataset:
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 BEHAVIORAL HEALTH SUPPORT SERVICES › Section 246-341-0700 - Behavioral health support services- Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Agencies
				  certified for behavioral health support provide services to promote
				  socialization, recovery, self-advocacy, development of natural supports, and
				  maintenance of community living skills for individuals with a behavioral health
				  diagnosis. Behavioral health support services may be provided in community,
				  outpatient, residential and inpatient settings. Behavioral health support
				  services under this certification include services such as:
(a) Psychiatric medication monitoring in
				  accordance with the service standards in WAC
				  246-341-0713;
(b) Crisis support in accordance with the
				  service standards in WAC
				  246-341-0715;
(c) Peer support;
(d) Rehabilitative case management;
(e) Day support;
(f) Supported employment in accordance with
				  the service standards in WAC
				  246-341-0720; and
(g) Supportive housing in accordance with the
				  service standards in WAC
				  246-341-0722.
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 BEHAVIORAL HEALTH SUPPORT SERVICES › Section 246-341-0713 - Psychiatric medication monitoring services-Service standards

Current through Register Vol. 24-14, July 15, 2024
(1) Psychiatric
				  medication monitoring services:
(a) Include
				  one-on-one cueing, observing, and encouraging an individual to take medication
				  as prescribed;
(b) Include
				  reporting any pertinent information related to the individual's adherence to
				  the medication back to the agency that is providing psychiatric medication
				  services; and
(c) May take place at
				  any location and for as long as it is clinically necessary.
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 BEHAVIORAL HEALTH SUPPORT SERVICES › Section 246-341-0715 - Crisis support services-Service standards

Current through Register Vol. 24-14, July 15, 2024
Crisis support services are short-term (less than two weeks
					 per episode) services that include face-to-face and other means of assistance
					 with life skills training and understanding of medication effects on an
					 individual.
(1) An agency providing
				  crisis support services must:
(a) Assure
				  communication and coordination with the individual's mental health or substance
				  use disorder treatment provider, if indicated and appropriate;
(b) If an individual is found to be
				  experiencing an acute crisis, remain with the individual in order to provide
				  stabilization and support until the crisis is resolved or referral to another
				  service is accomplished;
(c) As
				  appropriate, refer individuals to voluntary or involuntary treatment facilities
				  for admission on a seven day a week, 24 hour a day basis, including
				  arrangements for contacting the designated crisis responder;
(d) Transport or arrange for transport of an
				  individual in a safe and timely manner, when necessary;
(e) Document whether the individual has a
				  crisis plan and any request to obtain the crisis plan;
(f) Develop and implement policies and
				  procedures for training staff to identify and assist individuals in crisis
				  before assigning the staff member unsupervised duties; and
(g) Maintain a current list of local
				  resources for referrals, legal, employment, education, interpreter and social
				  and health services.
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 BEHAVIORAL HEALTH SUPPORT SERVICES › Section 246-341-0720 - Supported employment behavioral health services-Service standards

Current through Register Vol. 24-14, July 15, 2024
Supported employment behavioral health services assist in
					 job search, placement services, and training to help individuals find
					 competitive jobs in their local communities.
(1) A behavioral health agency that provides
				  supported employment services must have knowledge of and provide individuals
				  access to employment and education opportunities by coordinating efforts with
				  one or more entities that provide other rehabilitation and employment services,
				  such as:
(a) The department of social and
				  health services' division of vocational rehabilitation (DVR);
(b) The department of social and health
				  services' community services offices;
(c) State board for community and technical
				  colleges;
(d) The business
				  community;
(e) WorkSource,
				  Washington state's official site for online employment services;
(f) Washington state employment security
				  department; and
(g) Organizations
				  that provide job placement within the community.
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 BEHAVIORAL HEALTH SUPPORT SERVICES › Section 246-341-0722 - Supportive housing behavioral health services-Service standards

Current through Register Vol. 24-14, July 15, 2024
Supportive housing behavioral health services support an
					 individual's transition to community integrated housing and support the
					 individual to be a successful tenant in a housing arrangement.
(1) A behavioral health agency that provides
				  supportive housing services must have knowledge of and provide housing related
				  collaborative activities to assist individuals in identifying, coordinating,
				  and securing housing or housing resources with entities such as:
(a) Local homeless continuum of care groups
				  or local homeless planning groups;
(b) Housing authorities that operate in a
				  county or city;
(c) Community
				  action councils;
(d) Landlords of
				  privately owned residential homes; and
(e) State agencies that provide housing
				  resources.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR MENTAL HEALTH PEER RESPITE › Section 246-341-0725 - Mental health peer respite-Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Mental health
				  peer respite facilities provide voluntary, holistic, trauma-informed,
				  short-term, noncrisis, peer support services, in a home-like environment, which
				  focus on recovery and wellness. These services are limited to individuals who
				  are:
(a) At least 18 years of age;
(b) Experiencing psychiatric distress but who
				  are not detained or involuntarily committed under chapter 71.05 RCW;
				  and
(c) Independently seeking
				  respite services by their own choice.
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 CLUBHOUSES › Section 246-341-0730 - Clubhouses

Current through Register Vol. 24-14, July 15, 2024
(1) A clubhouse is
				  a community-based program that provides rehabilitation services.
(2) The clubhouse may be peer-operated and
				  must:
(a) Be member-run with voluntary
				  participation;
(b) Be
				  recovery-focused;
(c) Focus on
				  strengths, talents, and abilities of its members;
(d) Have a clubhouse director who:
(i) Engages members and staff in all aspects
				  of the clubhouse operations; and
(ii) Is ultimately responsible for the
				  operation of the clubhouse.
(e) Be comprised of structured activities in
				  accordance with
				  RCW
				  71.24.650(5), including the
				  following:
(i) Personal advocacy;
(ii) Help with securing
				  entitlements;
(iii) Information on
				  safe, appropriate, and affordable housing;
(iv) Community resource
				  development;
(v) Connecting members
				  with adult education opportunities in the community;
(vi) An active employment program that
				  assists members to gain and maintain employment in full- or part-time
				  competitive jobs. Employment related activities may include resume building,
				  education on how employment will affect benefits, information on other
				  employment services, and information regarding protections against employment
				  discrimination; and
(vii) An array
				  of social and recreational opportunities.
(f) Use a work-ordered day to allow all
				  members the opportunity to participate in all the work of the clubhouse
				  including:
(i) Administration;
(ii) Research;
(iii) Intake and orientation;
(iv) Outreach;
(v) Training and evaluation of
				  staff;
(vi) Public
				  relations;
(vii) Advocacy;
				  and
(viii) Evaluation of clubhouse
				  effectiveness.
(g)
				  Provide in-house educational programs that significantly utilize the teaching
				  and tutoring skills of members and assist members by helping them to take
				  advantage of adult education opportunities in the community.
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0737 - Behavioral health outpatient intervention, assessment and treatment services-Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Agencies
				  certified for intervention, assessment and treatment services provide
				  individualized intervention, assessment and treatment for mental health,
				  substance use, or co-occurring disorders. Intervention, assessment and
				  treatment services under this certification include services such as:
(a) Assessments;
(b) Counseling and therapy;
(c) Psychiatric medication management in
				  accordance with the service standards in WAC
				  246-341-0739; and
(d) Outpatient involuntary court-ordered
				  services in accordance with subsection (4) of this section and the service
				  standards for the service being provided.
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0739 - Psychiatric medication management services-Service standards

Current through Register Vol. 24-14, July 15, 2024
Psychiatric medication management services are a variety of
					 activities related to prescribing and administering psychiatric medication,
					 including monitoring an individual for side effects and changes as
					 needed.
(1) An agency providing
				  psychiatric medication management services must:
(a) Ensure that medical direction and
				  responsibility are assigned to a:
(i)
				  Physician who is licensed to practice under chapter 18.57 or 18.71 RCW, and is
				  board-certified or board-eligible in psychiatry;
(ii) Psychiatric advanced registered nurse
				  practitioner (ARNP) licensed under chapter 18.79 RCW; or
(iii) Physician assistant licensed under
				  chapter 18.71A RCW working with a supervising psychiatrist;
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0740 - Deferred prosecution under RCW 10.05.150-Service standards

Current through Register Vol. 24-14, July 15, 2024
An agency providing treatment services for deferred
					 prosecution under
					 RCW
					 10.05.150 must:
(1) Ensure that services include a minimum of
				  72 hours of treatment services within a maximum of 12 weeks, which consist of
				  the following during the first four weeks of treatment:
(a) At least three sessions each week, with
				  each session occurring on separate days of the week;
(b) Group sessions that must last at least
				  one hour; and
(c) Attendance at
				  self-help groups in addition to the 72 hours of treatment services.
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0746 - Alcohol and drug information school-Service standards

Current through Register Vol. 24-14, July 15, 2024
Alcohol and drug information school services provide an
					 educational program about substance use. These services are for an individual
					 referred by a court or other jurisdiction(s) who may have been assessed and
					 determined not to require treatment. An agency providing alcohol and drug
					 information school services must:
(1)
				  Ensure courses are taught by a substance use disorder professional, a substance
				  use disorder professional trainee, or a person who has received documented
				  training in:
(a) Effects of alcohol and other
				  drugs;
(b) Patterns of
				  use;
(c) Current laws and
				  regulations pertaining to substance use violations, and consequences of the
				  violations; and
(d) Available
				  resources and referral options for additional services that may be appropriate
				  for the individual.
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0805 - Less restrictive alternative (LRA) or conditional release support behavioral health services-Service standards

Current through Register Vol. 24-14, July 15, 2024
An agency serving individuals on a less restrictive
					 alternative (LRA) or conditional release court order shall provide or monitor
					 the provision of court-ordered services, including psychiatric, substance use
					 disorder treatment, and medical components of community support services. An
					 agency providing court-ordered LRA support and conditional release services
					 shall:
(1) Have a written policy and
				  procedure that allows for the referral of an individual to an involuntary
				  treatment facility 24 hours a day, seven days a week.
(2) Have a written policy and procedure for
				  an individual who requires involuntary detention that includes procedures for:
(a) Contacting the designated crisis
				  responder (DCR) regarding revocations or extension of an LRA or conditional
				  release; and
(b) The transportation
				  of an individual, in a safe and timely manner, for the purpose of:
(i) Evaluation; or
(ii) Evaluation and detention.
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0815 - Substance use disorder counseling for RCW 46.61.5056-Service standards

Current through Register Vol. 24-14, July 15, 2024
An agency providing certified substance use disorder
					 counseling services to an individual convicted of driving under the influence
					 or physical control under
					 RCW
					 46.61.5056 must ensure treatment is completed
					 as follows:
(1) Treatment during the
				  first 60 days must include:
(a) Weekly group
				  or individual substance use disorder counseling sessions according to the
				  individual service plan;
(b) One
				  individual substance use disorder counseling session of not less than 30
				  minutes duration, excluding the time taken for a substance use disorder
				  assessment, for each individual, according to the individual service
				  plan;
(c) Alcohol and drug basic
				  education for each individual;
(d)
				  Participation in recovery oriented, community-based self-help groups according
				  to the individual service plan. Participation must be documented in the
				  individual's individual service record; and
(e) Individuals who complete intensive
				  inpatient substance use disorder treatment services must attend, at a minimum,
				  weekly outpatient counseling sessions for the remainder of their first 60 days
				  of treatment according to the individual service plan.
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 BEHAVIORAL HEALTH OUTPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-0820 - Driving under the influence (DUI) substance use disorder assessment services- Service standards

Current through Register Vol. 24-14, July 15, 2024
Driving under the influence (DUI) assessment services, as
					 defined in chapter 46.61 RCW, are provided to an individual to determine the
					 individual's involvement with alcohol and other drugs and determine the
					 appropriate course of care or referral.
(1) An agency certified to provide DUI
				  assessment services:
(a) Must review,
				  evaluate, and document information provided by the individual;
(b) May include in the assessment information
				  from external sources such as family, support individuals, legal entities,
				  courts, and employers; and
(c) Must
				  maintain and provide a list of resources, including self-help groups, and
				  referral options that can be used by staff members to refer an individual to
				  appropriate services.
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 BEHAVIORAL HEALTH OUTPATIENT CRISIS OUTREACH, OBSERVATION AND INTERVENTION SERVICES › Section 246-341-0900 - Crisis mental health services- General

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR DESIGNATED CRISIS RESPONDER SERVICES › Section 246-341-0912 - Designated crisis responder (DCR) services- Certification standards

Current through Register Vol. 24-14, July 15, 2024
Designated crisis responder (DCR) services are services
					 provided by a DCR to evaluate an individual in crisis and determine if
					 involuntary services are required. An agency providing DCR services must do all
					 of the following:
(1) Ensure that
				  services are provided by a DCR;
(2)
				  Ensure staff members utilize the protocols for DCRs required by
				  RCW
				  71.05.214;
(3) Document that services provided to the
				  individual were in accordance with the requirements in chapter 71.05 or 71.34
				  RCW, as applicable; and
(4) Meet
				  the outpatient behavioral health crisis outreach, observation and intervention
				  services certification standards in WAC
				  246-341-0901.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR OPIOID TREATMENT PROGRAMS (OTP) › Section 246-341-1005 - Opioid treatment programs (OTP)-Agency certification requirements

Current through Register Vol. 24-14, July 15, 2024
An agency applying to provide opioid treatment program
					 services must:
(1) Submit to the
				  department documentation that the agency has communicated with the county
				  legislative authority and if applicable, the city legislative authority or
				  tribal authority, in order to secure a location for the new opioid treatment
				  program that meets county, tribal or city land use ordinances.
(2) Ensure that a community relations plan
				  developed and completed in consultation with the county, city, or tribal
				  authority or their designee, in order to minimize the impact of the opioid
				  treatment programs upon the business and residential neighborhoods in which the
				  program is located. A community relations plan is a plan to minimize the impact
				  of an opioid treatment program as defined by the Center for Substance Abuse
				  Guidelines for the Accreditation of Opioid Treatment Programs, section 2.C.(4).
				  The plan must include:
(a) Documentation of
				  the strategies used to:
(i) Obtain stakeholder
				  input regarding the proposed location;
(ii) Address any concerns identified by
				  stakeholders; and
(iii) Develop an
				  ongoing community relations plan to address new concerns expressed by
				  stakeholders.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR OPIOID TREATMENT PROGRAMS (OTP) › Section 246-341-1010 - Opioid treatment programs (OTP)-Agency staff requirements

Current through Register Vol. 24-14, July 15, 2024
An agency providing substance use disorder opioid treatment
					 program services must:
(1) Appoint a
				  program sponsor, as defined in 42 C.F.R. Part 8, who is responsible for
				  notifying the United States Center for Substance Abuse Treatment (CSAT),
				  Substance Abuse and Mental Health Services Administration (SAMHSA), the United
				  States Drug Enforcement Administration (DEA), the department, and the
				  Washington pharmacy quality assurance commission of any theft or significant
				  loss of a controlled substance that resulted in filing a DEA Form
				  106.
(2) Ensure there is an
				  appointed medical director, as defined in 42 C.F.R. Part 8, who:
(a) Is licensed by the department under
				  chapter 18.57 RCW or the Washington medical commission under chapter 18.71 RCW
				  to practice medicine and practices within their scope of practice;
(b) Is responsible for all medical services
				  performed;
(c) Ensures all medical
				  services provided are in compliance with applicable federal, state, and local
				  rules and laws.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR OPIOID TREATMENT PROGRAMS (OTP) › Section 246-341-1015 - Opioid treatment programs (OTP) - Individual service record content and documentation requirements

Current through Register Vol. 24-14, July 15, 2024
An agency providing opioid treatment program services must
					 maintain an individual's individual service record. The individual service
					 record must contain:
(1) Documentation
				  that the agency made a good faith effort to review if the individual is
				  enrolled in any other opioid treatment program and take appropriate
				  action;
(2) Documentation that the
				  individual received a copy of the rules and responsibilities for treatment
				  participants, including the potential use of interventions or
				  sanction;
(3) Documentation that
				  the individual service plan was reviewed quarterly and semi-annually after two
				  years of continuous treatment;
(4)
				  Documentation when an individual refuses to provide a drug testing specimen
				  sample. The refusal is considered a positive drug screen specimen;
(5) Documentation in progress notes of timely
				  interventions used to therapeutically address the disclosure of illicit drug
				  use, a positive drug test, or possible diversion of opioid medication, as
				  evidenced by the absence of opioids or related metabolites in drug toxicology
				  test results;
(6) Documentation of
				  all medical services including:
(a) Results of
				  physical examination;
(b) Medical
				  and family history;
(c) Nursing
				  notes;
(d) Laboratory reports
				  including results of regular toxicology screens, a problem list, and list of
				  medications updated as clinically indicated; and
(e) Progress notes including documentation of
				  all medications and dosages, if available.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR OPIOID TREATMENT PROGRAMS (OTP) › Section 246-341-1020 - Opioid treatment programs (OTP)-Medical director responsibility

Current through Register Vol. 24-14, July 15, 2024
An agency providing substance use disorder opioid treatment
					 program services must ensure the program physician, or the medical practitioner
					 under supervision of the medical director, performs and meets the
					 following:
(1) The program physician
				  or medical practitioner under supervision of the medical director:
(a) Is responsible to verify an individual is
				  currently addicted to an opioid drug and that the individual became addicted at
				  least 12 months before admission to treatment; or
(b) May waive the 12 month requirement in (a)
				  of this subsection upon receiving documentation that the individual:
(i) Was released from a penal institution, if
				  the release was within the previous six months;
(ii) Is pregnant; or
(iii) Was previously treated within the
				  previous 24 months.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR OPIOID TREATMENT PROGRAMS (OTP) › Section 246-341-1025 - Opioid treatment programs (OTP)-Medication management

Current through Register Vol. 24-14, July 15, 2024
An agency providing opioid treatment program services must
					 ensure the medication management requirements in this section are met.
(1) An agency must use only those opioid
				  treatment medications that are approved by the United States Food and Drug
				  Administration under section 505 of the United States Food, Drug, and Cosmetic
				  Act (21 U.S.C. 355) for use
				  in the treatment of opioid use disorder.
(2)
An agency providing opioid treatment program services must
					 ensure that initial dosing requirements are met as follows:
(a) Methadone must be administered or
				  dispensed only in oral form and is formulated in such a way as to reduce its
				  potential for parenteral abuse;
(b)
				  The initial dose of methadone must not exceed thirty milligrams and the total
				  dose for the first day must not exceed forty milligrams, unless the program
				  physician documents in the individual's record that forty milligrams did not
				  suppress opioid abstinence symptoms; and
(c) The establishment of the initial dose
				  must consider:
(i) Signs and symptoms of
				  withdrawal;
(ii) Individual
				  comfort; and
(iii) Side effects
				  from over medication.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR OPIOID TREATMENT PROGRAMS (OTP) › Section 246-341-1060 - General requirements for mental health and substance use disorder inpatient and residential services providing services under chapter 71.05 or 71.34 RCW

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR WITHDRAWAL MANAGEMENT › Section 246-341-1100 - Withdrawal management -Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Substance use
				  disorder withdrawal management services are provided to assist in the process
				  of withdrawal from psychoactive substances in a safe and effective manner that
				  includes medical management or medical monitoring. Substance use disorder
				  withdrawal management services under this certification include:
(a) Adult withdrawal management;
				  and
(b) Youth withdrawal
				  management.
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1105 - Behavioral health residential and inpatient intervention, assessment and treatment services-Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Agencies
				  certified for behavioral health residential and inpatient services provide
				  behavioral health intervention, assessment and treatment services in a
				  residential treatment facility or hospital. Residential and inpatient services
				  under this certification include:
(a) In
				  accordance with the service standards in WAC
				  246-341-1108:
(i) Adult residential and inpatient substance
				  use disorder treatment; and
(ii)
				  Youth residential and inpatient substance use disorder treatment;
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1106 - Secure withdrawal management and stabilization services-Youth (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1108 - Residential and inpatient substance use disorder treatment services- Service standards

Current through Register Vol. 24-14, July 15, 2024
Residential substance use disorder treatment services
					 provide substance use disorder treatment for an individual in a facility with
					 24 hours a day supervision.
(1) An
				  agency providing residential and inpatient substance use disorder treatment
				  services must:
(a) Provide education to each
				  individual admitted to the treatment facility on:
(i) Substance use disorders;
(ii) Relapse prevention;
(iii) Bloodborne pathogens;
(iv) Tuberculosis (TB);
(v) Emotional, physical, and sexual abuse;
				  and
(vi) Nicotine use
				  disorder;
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1110 - Residential substance use disorder treatment services-Intensive inpatient services

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1112 - Residential substance use disorder treatment services-Low intensity recovery house residential treatment services

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1114 - Residential substance use disorder treatment services-Long-term treatment services

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1116 - Residential substance use disorder treatment services-Youth residential services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1118 - Residential and inpatient mental health services- Service standards

Current through Register Vol. 24-14, July 15, 2024
(1) An agency
				  providing residential and inpatient mental health services must develop and
				  implement an individualized annual training plan for agency staff members, to
				  include at least:
(a) Least restrictive
				  alternative options available in the community and how to access
				  them;
(b) Methods of providing
				  individualized treatment; and
(c)
				  De-escalation training and management of assaultive and self-destructive
				  behaviors, including proper and safe use of seclusion and restraint
				  procedures.
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1120 - Mental health inpatient services-Posting of individual rights for minors (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1122 - Mental health inpatient services-Rights of individuals receiving inpatient services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1124 - Residential and inpatient mental health services-Rights related to antipsychotic medication

Current through Register Vol. 24-14, July 15, 2024
All individuals have a right to make an informed decision
					 regarding the use of antipsychotic medication consistent with the provisions of
					 RCW
					 71.05.215 and
					 71.05.217. The provider must
					 develop and maintain a written protocol for the involuntary administration of
					 antipsychotic medications, including all of the following requirements:
(1) The clinical record must document all of
				  the following:
(a) An attempt to obtain
				  informed consent.
(b) The
				  individual was asked if they wish to decline treatment during the 24-hour
				  period prior to any court proceeding wherein the individual has the right to
				  attend and is related to their continued treatment. The answer must be in
				  writing and signed when possible. In the case of a child under the age of 18,
				  the psychiatrist, physician assistant working with a supervising psychiatrist,
				  psychiatric advanced registered nurse practitioner, or physician or physician
				  assistant in consultation with a mental health professional with prescriptive
				  authority must be able to explain to the court the probable effects of the
				  medication.
(c) The reasons why any
				  antipsychotic medication is administered over the individual's objection or
				  lack of consent.
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1126 - Mental health inpatient services-Policies and procedures-Adult (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1128 - Mental health inpatient services-Policies and procedures-Minors (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 BEHAVIORAL HEALTH RESIDENTIAL OR INPATIENT INTERVENTION, ASSESSMENT AND TREATMENT SERVICES › Section 246-341-1130 - Mental health inpatient services-Treatment of a minor without consent of parent (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 246-341-1131 - Involuntary behavioral health residential and inpatient services-Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Agencies
				  certified for involuntary behavioral health residential and inpatient services
				  provide behavioral health intervention, assessment and treatment services in a
				  residential treatment facility or hospitals to individuals subject to a civil
				  commitment or court-order under chapter 71.05 or 71.34 RCW; or to individuals
				  who have been court ordered to receive treatment at a certified agency pursuant
				  to chapter 10.77 RCW. Involuntary residential and inpatient services under this
				  certification include the following services:
(a) In accordance with the service standards
				  in WAC 246-341-1133:
(i) Adult involuntary evaluation and
				  treatment; and
(ii) Youth
				  involuntary evaluation and treatment;
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 246-341-1132 - Mental health inpatient services-Treatment of a minor without consent of minor (Repealed)

Current through Register Vol. 24-14, July 15, 2024
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 246-341-1134 - Mental health inpatient services-Evaluation and treatment services

Current through Register Vol. 24-14, July 15, 2024
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 246-341-1135 - Secure withdrawal management and stabilization services-Service standards

Current through Register Vol. 24-14, July 15, 2024
Secure withdrawal management and stabilization services are
					 provided to an involuntary individual to assist in the process of withdrawal
					 from psychoactive substances in a safe and effective manner, or medically
					 stabilize an individual after acute intoxication, in accordance with chapters
					 71.05 and 71.34 RCW.
(1) An agency
				  providing secure withdrawal management and stabilization services must develop
				  and implement policies and procedures to assure that a substance use disorder
				  professional and licensed physician, physician assistant, or advanced
				  registered nurse practitioner are available 24 hours a day, seven days a week
				  for consultation and communication with the staff that provide direct care to
				  individuals.
(2) An agency
				  providing secure withdrawal management and stabilization services must document
				  that each individual has received necessary screenings, assessments,
				  examinations, or evaluations to determine the nature of the disorder and the
				  treatment necessary, including:
(a) A
				  telephone screening reviewed by a nurse, as defined in chapter 18.79 RCW, or
				  medical practitioner prior to admission that includes current level of
				  intoxication, available medical history, and known medical risks; and
(b) An examination and evaluation in
				  accordance with
				  RCW
				  71.05.210 within 24 hours of admission to the
				  facility.
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 246-341-1136 - Mental health inpatient services-Exception-Long-term certification

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR INTENSIVE BEHAVIORAL HEALTH TREATMENT › Section 246-341-1137 - In-tensive behavioral health treatment services-Certification standards

Current through Register Vol. 24-14, July 15, 2024
(1) Intensive
				  behavioral health treatment services are intended to assist individuals in
				  transitioning to lower levels of care, including individuals on a less
				  restrictive alternative order. These services are provided for individuals with
				  behavioral health conditions whose impairment or behaviors do not meet or no
				  longer meet criteria for involuntary inpatient commitment under chapter 71.05
				  RCW, but whose care needs cannot be met in other community-based settings due
				  to one or more of the following:
(a)
				  Self-endangering behaviors that are frequent or difficult to manage;
(b) Intrusive behaviors that put residents or
				  staff at risk;
(c) Complex
				  medication needs, which include psychotropic medications;
(d) A history or likelihood of unsuccessful
				  placements in other community facilities or settings such as:
(i) Assisted living facilities licensed under
				  chapters 18.20 RCW and 388-78A WAC;
(ii) Adult family homes licensed under
				  chapters 70.128 RCW and 388-76 WAC;
(iii) Permanent supportive housing provided
				  in accordance with chapter 388-106 WAC;
(iv) Supported living certified under chapter
				  388-101 WAC; or
(v) Residential
				  treatment facilities licensed under chapters 71.12 RCW and 246-337 WAC
				  providing a lower level of services.
(e) A history of frequent or protracted
				  mental health hospitalizations; or
(f) A history of offenses against a person or
				  felony offenses that cause physical damage to property.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR CRISIS STABILIZATION UNIT AND TRIAGE SERVICES › Section 246-341-1140 - Crisis stabilization unit and triage-Certification standards

Current through Register Vol. 24-14, July 15, 2024
An agency certified to provide crisis stabilization unit or
					 triage services must meet all of the following criteria:
(1) A triage facility must be licensed as a
				  residential treatment facility under chapter 71.12 RCW.
(2) If a crisis stabilization unit or triage
				  facility is part of a jail, the unit must be located in an area of the building
				  that is physically separate from the general population. "Physically separate"
				  means:
(a) Out of sight and sound of the
				  general population at all times;
(b) Located in an area with no foot traffic
				  between other areas of the building, except in the case of emergency
				  evacuation; and
(c) Has a secured
				  entrance and exit between the unit and the rest of the facility.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR CRISIS STABILIZATION UNIT AND TRIAGE SERVICES › Section 246-341-1142 - Mental health inpatient services- Crisis stabilization unit-Admission, assessment, and records (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR CRISIS STABILIZATION UNIT AND TRIAGE SERVICES › Section 246-341-1144 - Mental health inpatient services- Triage-Agency facility and administrative requirements (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR CRISIS STABILIZATION UNIT AND TRIAGE SERVICES › Section 246-341-1146 - Mental health inpatient services- Triage-Admission, assessment, and records (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR CRISIS STABILIZATION UNIT AND TRIAGE SERVICES › Section 246-341-1148 - Mental health inpatient services- Triage-Stabilization plan (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-341 - Behavioral health agency licensing and certification requirements › CERTIFICATION STANDARDS FOR CRISIS STABILIZATION UNIT AND TRIAGE SERVICES › Section 246-341-1150 - Mental health inpatient services- Triage-Discharge (Repealed)

Current through Register Vol. 24-14, July 15, 2024