Washington Administrative Code › Title 388 - Social and Health Services, Department of › MENTAL HEALTH › Chapter 388-865 - Community mental health and involuntary treatment programs › INPATIENT EVALUATION AND TREATMENT FACILITIES › Section 388-865-0526 - Single bed certification

Current through Register Vol. 24-14, July 15, 2024
At the discretion of the department, an exception may be
					 granted to allow timely and appropriate treatment to an adult on a seventy-two
					 hour detention or fourteen-day commitment in a facility that is not certified
					 under WAC
					 388-865-0500; or for a maximum of
					 thirty days to allow a community facility to provide treatment to an adult on a
					 ninety- or one hundred eighty-day inpatient involuntary commitment order. For
					 involuntarily detained or committed children, the exception may be granted to
					 allow timely and appropriate treatment in a facility not certified under WAC
					 388-865-0500 until the child's
					 discharge from that setting to the community, or until they transfer to a bed
					 in a children's long-term inpatient program (CLIP).
(1) The regional support network (RSN) or its
				  designee must submit a written request for a single bed certification to the
				  department. In the case of a child, the facility must submit the written
				  request to the department. The request must be submitted and approved by the
				  department for a facility to accept an individual for timely and appropriate
				  treatment under this section. If the department has assumed the duties assigned
				  to a nonparticipating RSN, an entity designated by the department will perform
				  the functions described in this section.
(2)
A single bed certification may be issued to the facility
					 for timely and appropriate mental health treatment when the following
					 requirements are met in each instance where such certification is sought for an
					 individual:
(a) The facility that is
				  the site of the proposed single bed certification confirms that it is willing
				  and able to provide directly, or by direct arrangement with other public or
				  private agencies, timely and appropriate mental health treatment to the
				  consumer for whom the single bed certification is sought; and
(b) The request for single bed certification
				  describes why the consumer meets at least one of the following criteria:
(i)
The consumer is expected to be ready for discharge from
					 inpatient services within the next thirty days and being at a community
					 facility would facilitate continuity of care, consistent with the consumer's
					 individual treatment needs;
(ii) The consumer can receive appropriate
				  mental health treatment in a residential treatment facility, as defined in WAC
				  246-337-005, and the single bed
				  certification will be only to that facility; or
(iii) The consumer can receive appropriate
				  mental health treatment in a hospital with a psychiatric unit, or a hospital
				  that is willing and able to provide timely and appropriate mental health
				  treatment, or a psychiatric hospital, and the single bed certification will
				  apply only to that facility.