Washington Administrative Code › Title 388 - Social and Health Services, Department of › DOMESTIC VIOLENCE › Chapter 388-60A - DOMESTIC VIOLENCE INTERVENTION PROGRAM STANDARDS › TREATMENT REQUIREMENTS › Section 388-60A-0415 - Required cognitive and behavioral changes-Depending on their level of treatment, what changes must the program document that the participant has made?

Current through Register Vol. 24-14, July 15, 2024
(1) For levels one,
				  two and three treatment, the program must ensure:
(a) The groups are facilitated by a program
				  staff member who is designated by the department at the staff or supervisor
				  level;
(b) A trainee may
				  co-facilitate with a staff or supervisor, but must not facilitate the group
				  alone at any time;
(c) The program
				  uses evidence-based or promising practices (see WAC 388-60A-0310) to
				  facilitate the areas of treatment focus listed in this section;
(d) The cognitive and behavioral changes in
				  this section are the minimum standard for certified domestic violence
				  intervention treatment and the program must add topics, discussions, lessons,
				  exercises, or assignments that meet the individual treatment needs of the
				  participant;
(e) The areas of
				  treatment in this section include cognitive and behavioral changes, which must
				  be shared in treatment by the participant and documented by the program in the
				  participant's individual record as those changes are identified;
(f) Each treatment program certified for
				  levels one, two, and three domestic violence intervention treatment must
				  document in each participant's file that the following cognitive and behavioral
				  changes are documented for each participant and at a minimum include:
(i)
Types of abuse
: Individual
				  and specific examples of how the participant has acknowledged that they have
				  engaged in any abusive behaviors including but not limited to the following
				  types of abuse:
(A) Physical;
(B) Emotional and psychological including
				  terrorizing someone or threatening them;
(C) Verbal;
(D) Spiritual;
(E) Cultural;
(F) Sexual;
(G) Economic;
(H) Physical force against property or pets;
(I) Stalking;
(J) Acts that put the safety of partners,
				  children, pets, other family members, or friends at risk; and
(K) Electronic, online, and social
				  media;
(ii)
Belief
				  systems
: Exploration of the participant's individual and cultural belief
				  system, including acknowledgement of how those beliefs have allowed and
				  supported violence against an intimate partner including privilege or
				  oppression;
(A) Specific examples of how the
				  participant's individual belief system has allowed or supported the use or
				  threat of violence to establish power and control over an intimate partner;
				  and
(B) Examples of how the
				  participant has experienced societal approval and support for control through
				  violence and the designation of an intimate partner or children as safe targets
				  for this violence;
(iii)
Respectful relationships
: Documentation of new skills the
				  participant has gained through exercises in learning and practicing respectful
				  relationship skills including techniques to be non-abusive and non-controlling
				  that include but are not limited to:
(A)
				  Requesting and obtaining affirmative consent as an essential aspect of
				  interpersonal relationships; and
(B) Respecting boundaries about others'
				  bodies, possessions, and actions;
(iv)
Children
: Documentation of
				  the participant's understanding of how children have been impacted by the
				  participant's abuse and the incompatibility of domestic violence and abuse with
				  responsible parenting including but not limited to:
(A) An understanding of the emotional impacts
				  of domestic violence on children;
(B) An understanding of the long-term
				  consequences that exposure to incidents of domestic violence may have on
				  children; and
(C) The behavioral
				  changes the participant has made and shared with the group as a result of this
				  understanding;
(v)
Accountability
: Documentation of the participant's understanding
				  of accountability for their abusive behaviors and their resulting behavioral
				  changes including but not limited to:
(A)
				  Documentation of the participant's understanding of how they are solely
				  responsible for their abusive and controlling behavior and how they acknowledge
				  this fact;
(B) An understanding of
				  the need to avoid blaming the victim and the ability to consistently take
				  responsibility for the participant's abusive behavior, including holding
				  themselves and others in group accountable for their behavior;
(C) Documentation of a minimum of three
				  separate individual examples of how the participant has taken accountability
				  since beginning domestic violence intervention treatment which must be kept in
				  the participant's file;
(D)
				  Documented examples of how the participant has demonstrated spontaneous
				  accountability in treatment, taking accountability in the moment;
(E) Documentation of the participant's
				  accountability plan:
(I) The treatment
				  program may assist the participant in developing the plan;
(II) In the plan the participant must make a
				  commitment to giving up power and control, including abusive and controlling
				  behaviors towards the victim and others;
(III) In the plan the participant must take
				  accountability for specific abusive behaviors they have committed and have a
				  plan for stopping all abusive behaviors;
(IV) In the plan the participant must
				  identify examples of individualized and specific behavioral changes they have
				  made which demonstrate an understanding of accountability; and
(V) In the plan the participant must identify
				  their personal motivations, ethics, and values as they relate to maintaining
				  healthy relationships; and
(F) Documentation that the participant has
				  demonstrated an understanding of accountability in their past and current
				  relationships, and their progress in taking accountability including the
				  resulting cognitive and behavioral changes during treatment;
(vi)
Financial and legal
				  obligations
: Documentation of the participant's understanding of why it
				  is necessary for them to meet their financial and legal obligations to family
				  members and the actions they are taking to meet those obligations;
(vii)
Empathy
: Documentation of
				  the exercises or assignments on empathy building that demonstrate the
				  participant's cognitive and behavioral changes as a result of increasing their
				  empathy;
(viii)
Defense
				  mechanisms
: Documentation of what the participant has identified as
				  their individual defense mechanisms such as projection, denial, and detachment
				  as well as healthy coping strategies the participant has learned, and the
				  cognitive and behavioral changes they have made in dealing with unpleasant
				  feelings;
(ix)
Self-care
: Documentation of individualized self-care practices the
				  participant has learned and incorporated into their lives, and documentation of
				  their understanding of why self-care is crucial for healthy
				  relationships;
(x)
Support
				  system
: Documentation of the participant's healthy support system,
				  including who they have identified as part of that system and how they provide
				  healthy support;
(xi)
Indicators
: Documentation of the indicators or red flags the
				  participant has identified that they have engaged in, their understanding of
				  how those behaviors are abusive, and the cognitive and behavioral changes they
				  have made as a result;
(xii)
Cognitive distortions
: Documentation of the cognitive distortions
				  or thinking errors the participant has identified, that they have used to
				  justify their abusive behaviors, and how they have learned to reframe and
				  change their thinking when those cognitive distortions are present;
(xiii)
Personal motivations
:
				  Documentation of the participant's personal motivations for abusive behaviors
				  and the cognitive and behavioral changes they have made to replace those
				  beliefs and subsequent behaviors which include but are not limited to:
(A) A sense of entitlement;
(B) A belief that the participant should have
				  power and control over their partner;
(C) Learned experience that abuse can get the
				  participant what they want;
(D) The
				  need to be right or win at all costs; and
(E) Insecurity and fear;
(xiv)
Relationship history
:
				  Documentation of the participant's relationship history which documents common
				  characteristics, motivations for abuse, applicable cognitive distortions, and
				  indicators of domestic violence throughout the participant's history of
				  intimate relationships;
(A) The treatment
				  program and group may assist the participant in developing the relationship
				  history; and
(B) The relationship
				  history must focus on the participant's behaviors in an accountable manner
				  without blaming others; and
(xv)
Criminogenic needs
:
				  Documentation of treatment in group or individual sessions with level three
				  participants that addresses their individual criminogenic needs as indicated
				  through assessment and treatment planning.