reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1114 - Residential substance use disorder treatment services-Long-term treatment services

Current through Register Vol. 24-14, July 15, 2024
(1) Long-term
				  treatment services are substance use disorder residential treatment services
				  that provide a program for an individual needing consistent structure over a
				  longer period of time to develop and maintain abstinence, develop recovery
				  skills, and to improve overall health.
(2) In addition to meeting the behavioral
				  health agency licensure, certification, administration, personnel, and clinical
				  requirements in WAC
				  388-877-0300
				  through
				  388-877-0680
				  and the residential treatment services requirements in WAC 388-877-1108 an
				  agency certified to provide long-term treatment services must:
(a) Provide an individual a minimum of two
				  hours each week of individual or group counseling;
(b) Provide no less than five hours per week
				  of treatment services in line with ASAM 3.1 components;
(c) Progress notes should include the date,
				  time, duration, participant names, and a brief summary of the session and the
				  names of the staff member who provided it;
(d) Provide an individual, during the course
				  of services, with:
(i) Education on social and
				  coping skills, relapse prevention, and recovery skills development;
(ii) Social and recreational
				  activities;
(iii) Assistance in
				  seeking employment, when appropriate; and
(iv) Assistance with re-entry living skills
				  to include seeking and obtaining safe housing; and
(e) Conduct and document an individual
				  service plan review at least monthly.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1116 - Residential substance use disorder treatment services-Youth residential services

Current through Register Vol. 24-14, July 15, 2024
Youth residential services are substance use disorder
					 residential treatment services provided to an individual seventeen years of age
					 or younger in accordance with ASAM criteria. In addition to meeting the
					 behavioral health agency licensure, certification, administration, personnel,
					 and clinical requirements in WAC
					 388-877-0300
					 through
					 388-877-0680
					 and the residential treatment services requirements in WAC 388-877-1108 an
					 agency certified to provide youth residential services must do all of the
					 following:
(1) Ensure at least one
				  adult staff member of each gender is present or on call at all times if
				  co-educational treatment services are provided.
(2) Ensure group counseling sessions with
				  twelve to sixteen youths include a second adult staff member.
(3) Ensure staff members are trained in safe
				  and therapeutic techniques for dealing with a youth's behavior and emotional
				  crisis, including:
(a) Verbal
				  de-escalation;
(b) Crisis
				  intervention;
(c) Anger
				  management;
(d) Suicide assessment
				  and intervention;
(e) Conflict
				  management and problem solving skills;
(f) Management of assaultive
				  behavior;
(g) Proper use of
				  therapeutic physical intervention techniques; and
(h) Emergency procedures.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1118 - Mental health inpatient services-General

Current through Register Vol. 24-14, July 15, 2024
(1) Inpatient services include the following
				  types of behavioral health services certified by the division of behavioral
				  health and recovery:
(a) Evaluation and
				  treatment services;
(b) Child long
				  term inpatient program (CLIP);
(c)
				  Crisis stabilization units;
(d)
				  Triage services; and
(e) Competency
				  evaluation and treatment services;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1120 - Mental health inpatient services-Posting of individual rights for minors

Current through Register Vol. 24-14, July 15, 2024
A behavioral health agency providing inpatient services to
					 minors must ensure that the rights listed in
					 RCW
					  71.34.355 are prominently posted in the
					 facility and provided in writing to the individual in a language or format that
					 the individual can understand.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1122 - Mental health inpatient services-Rights of individuals receiving inpatient services

Current through Register Vol. 24-14, July 15, 2024
The behavioral health agency providing inpatient services
					 must ensure that the rights listed in
					 RCW
					  71.05.360 and
					 71.05.217 are prominently posted in the facility and provided in writing to the
					 individual in a language or format that the individual can
					 understand.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1124 - Mental health inpatient 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 twenty-four 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 eighteen, 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 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1126 - Mental health inpatient services-Policies and procedures-Adult

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting the agency licensure,
					 certification, administration, personnel, and clinical requirements in WAC
					 388-877-0100
					 through
					 388-877-0680,
					 and the applicable inpatient service requirements in WAC 388-877-1118 through
					 388-877-1132, an inpatient facility must implement all of the following
					 administrative requirements:
(1)
				  Policies to ensure that services are provided in a secure environment. "Secure"
				  means having:
(a) All doors and windows
				  leading to the outside locked at all times;
(b) Visual monitoring, either by line of
				  sight or camera as appropriate to the individual;
(c) Adequate space to segregate violent or
				  potentially violent persons from others;
(d) The means to contact law enforcement
				  immediately in the event of an elopement from the facility; and
(e) Adequate numbers of staff present at all
				  times that are trained in facility security measures.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1128 - Mental health inpatient services-Policies and procedures-Minors

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting the agency licensure,
					 certification, administration, personnel, and clinical requirements in WAC
					 388-877-0100
					 through
					 388-877-0680
					 and the applicable inpatient services requirements in WAC 388-877-1118 through
					 388-877-1132, inpatient facilities serving minor children seventeen years of
					 age and younger must develop and implement policies and procedures to address
					 special considerations for serving children. These special considerations must
					 include all of the following:
(1)
				  Procedures to ensure that adults are separated from minors who are not yet
				  thirteen years of age.
(2)
				  Procedures to ensure that a minor who is at least age thirteen but not yet age
				  eighteen is served with adults only if the minor's clinical record contains:
(a) Documentation that justifies such
				  placement; and
(b) A professional
				  judgment that placement in an inpatient facility that serves adults will not
				  harm the minor.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1130 - Mental health inpatient services-Treatment of a minor without consent of parent

Current through Register Vol. 24-14, July 15, 2024
An inpatient evaluation and treatment facility, approved
					 inpatient substance use disorder facility, or secure withdrawal management and
					 stabilization facility may admit a minor child who is at least thirteen years
					 of age and not older than seventeen years of age without the consent of the
					 minor's parent(s) if the requirements of
					 RCW
					  71.34.500 through
					 71.34.530 are met.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1132 - Mental health inpatient services-Treatment of a minor without consent of minor

Current through Register Vol. 24-14, July 15, 2024
An inpatient evaluation and treatment facility, approved
					 inpatient substance use disorder facility, or secure withdrawal management and
					 stabilization facility may admit, evaluate, and treat a minor child seventeen
					 years of age or younger without the consent of the minor if the minor's
					 parent(s) brings the minor to the facility, if the requirements of
					 RCW
					  71.34.600 through
					 71.34.660 are met.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1134 - Mental health inpatient services-Evaluation and treatment services

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting the agency licensure,
					 certification, administration, personnel, and clinical requirements in WAC
					 388-877-0100
					 through
					 388-877-0680,
					 and the applicable inpatient services requirements in WAC 388-877-1118 through
					 388-877-1132 an agency providing evaluation and treatment services must
					 ensure:
(1) Designation of a physician
				  or other mental health professional as the professional person as defined in
				  RCW
				   71.05.020 in charge of clinical services at
				  that facility; and
(2) A policy
				  management structure that establishes:
(a)
				  Procedures to assure appropriate and safe transportation for persons who are
				  not approved for admission to his or her residence or other appropriate
				  place;
(b) Procedures to detain
				  arrested persons who are not approved for admission for up to eight hours so
				  that reasonable attempts can be made to notify law enforcement to return to the
				  facility and take the person back into custody;
(c) Procedures to assure the rights of
				  individuals to make mental health advance directives, and facility protocols
				  for responding to individual and agent requests consistent with
				  RCW
				   71.32.150;
(d) Procedures to ensure that if the facility
				  releases the individual to the community, the facility informs the peace
				  officer of the release within a reasonable period of time after the release if
				  the peace officer has specifically requested notification and has provided
				  contact information to the facility;
(e) Procedures to document that each
				  individual has received evaluations to determine the nature of the disorder and
				  the treatment necessary, including a psychosocial evaluation by a mental health
				  professional; and
(f) For
				  individuals who are being evaluated as dangerous mentally ill offenders under
				  RCW
				   72.09.370(7), the
				  professional person in charge of the evaluation and treatment facility must
				  consider filing a petition for a ninety day less restrictive alternative in
				  lieu of a petition for a fourteen-day commitment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1136 - Mental health inpatient services-ExceptionLong-term certification

Current through Register Vol. 24-14, July 15, 2024
(1) For adults: At the
				  discretion of the division of behavioral health and recovery (DBHR), a facility
				  may be granted an exception in order to allow the facility to be certified to
				  provide treatment to adults on a ninety or one hundred eighty-day inpatient
				  involuntary commitment orders.
(2)
				  For children: At the discretion of DBHR, a facility that is certified as a
				  'mental health inpatient evaluation and treatment facility' may be granted an
				  exception to provide treatment to a child on a one hundred and eighty-day
				  inpatient involuntary treatment order only until the child is discharged from
				  his/her order to the community, or until a bed is available for that child in a
				  child long-term inpatient treatment facility (CLIP). The child cannot be
				  assigned by the CLIP placement team in accordance with RCW  71.34.100 to any
				  facility other than a CLIP facility.
(3) The exception certification may be
				  requested by the facility, the director of DBHR or their designee, or the
				  behavioral health organization for the facility's geographic area.
(4) The facility receiving the long-term
				  exception certification for ninety or one hundred eighty-day patients must meet
				  all requirements found in WAC 388-877-1134.
(5) The exception certification must be
				  signed by the director of DBHR. The exception certification may impose
				  additional requirements, such as types of consumers allowed and not allowed at
				  the facility, reporting requirements, requirements that the facility
				  immediately report suspected or alleged incidents of abuse, or any other
				  requirements that the director of DBHR determines are necessary for the best
				  interests of residents.
(6) DBHR
				  may make unannounced site visits at any time to verify that the terms of the
				  exception certification are being met. Failure to comply with any term of the
				  exception certification may result in corrective action. If DBHR determines
				  that the violation places residents in imminent jeopardy, immediate revocation
				  of the certification can occur.
(7)
				  Neither individuals nor facilities have fair hearing rights as defined under
				  chapter 388-02 WAC regarding the decision to grant or not to grant exception
				  certification.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1140 - Mental health inpatient services-Crisis stabilization unit-Agency facility and administrative standards

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting the agency licensure,
					 certification, administration, personnel, and clinical requirements in WAC
					 388-877-0100
					 through
					 388-877-0680
					 and the applicable inpatient services requirements in WAC 388-877-1118 through
					 388-877-1132, an agency certified to provide crisis stabilization unit services
					 must meet all of the following criteria:
(1) Be licensed by the department of
				  health.
(2) If a crisis
				  stabilization unit 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 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1142 - Mental health inpatient services-Crisis stabilization unit-Admission, assessment, and records

Current through Register Vol. 24-14, July 15, 2024
(1) For persons
				  who have been brought to the unit involuntarily by police:
(a) The clinical record must contain:
(i) A statement of the circumstances under
				  which the person was brought to the unit;
(ii) The admission date and time;
				  and
(iii) The date and time when
				  the twelve hour involuntary detention period ends; and
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1144 - Mental health inpatient services-Triage-Agency facility and administrative requirements

Current through Register Vol. 24-14, July 15, 2024
Under chapter 71.05 RCW, the department certifies
					 facilities to provide triage services that assess and stabilize an individual,
					 or determine the need for involuntary commitment. The department does not
					 require a facility licensed by the department of health (DOH) that was
					 providing assessment and stabilization services under chapter 71.05 RCW as of
					 April, 22, 2011, to relicense or recertify under these rules. A request for an
					 exemption must be made to DOH and the department.
(1) In addition to meeting the agency
				  licensure, certification, administration, personnel, and clinical requirements
				  in WAC
				  388-877-0100
				  through
				  388-877-0680
				  and the applicable inpatient services requirements in WAC 388-877-1118 through
				  388-877-1132, an agency certified to provide triage services must:
(a) Be licensed by the department of health
				  (DOH) as a residential treatment facility;
(b) Meet the requirements for voluntary
				  admissions under this chapter;
(c)
				  Meet the requirements for involuntary admissions under this chapter if it
				  elects to operate and be certified as a triage involuntary placement
				  facility;
(d) Ensure that the
				  facility and its services are accessible to individuals with disabilities, as
				  required by applicable federal, state, and local laws; and
(e) Admit only individuals who are eighteen
				  years of age and older.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1146 - Mental health inpatient services-Triage-Admission, assessment, and records

Current through Register Vol. 24-14, July 15, 2024
An agency certified to provide triage services must ensure
					 the requirements in this section are met for each voluntary and involuntary
					 admission. See WAC 388-877-1152(2) for additional requirements for an
					 individual brought to a triage involuntary placement facility by a peace
					 officer. See WAC 388-877-1152(3) for additional requirements for an individual
					 involuntarily admitted to a triage involuntary placement facility based on a
					 peace officer-initiated twelve-hour hold.
(1) Each individual must be assessed for
				  substance use disorder and co-occurring mental health and substance abuse
				  disorder as measured by the global appraisal on individual need-short screen
				  (GAIN-SS) as it existed on the effective date of this section, or such
				  subsequent date consistent with the purposes of this section. The clinical
				  record must contain the results of the assessment.
(2) Each individual must be assessed by a
				  mental health professional (MHP) within three hours of the individual's arrival
				  at the facility.
(a) The assessment must
				  include, at a minimum:
(i) A brief history of
				  mental health or substance abuse treatment; and
(ii) An assessment of risk of harm to self,
				  others, or grave disability.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1148 - Mental health inpatient services-Triage-Stabilization plan

Current through Register Vol. 24-14, July 15, 2024
A triage stabilization plan must be developed for each
					 individual voluntarily or involuntarily admitted to a triage facility for
					 longer than twenty-four hours. For an individual admitted twenty-four hours or
					 less, the facility must document the results of the assessment performed by a
					 mental health professional (MHP) required under WAC 388-877-1146.
(1) The triage stabilization plan must:
(a) Be developed collaboratively with the
				  individual within twenty-four hours of admission;
(b) Either improve or resolve the
				  individual's crisis, or both in the least restrictive manner
				  possible;
(c) Be written in a
				  language that is understandable to the individual or the individual's support
				  system, or both, if applicable;
(d)
				  Be mindful of the individual's culture, life style, economic situation, and
				  current mental and physical limitation;
(e) Have goals that are relevant to the
				  presenting crisis and demonstrate how they impact the crisis by improving the
				  individual's ability to function;
(f) Include any recommendation for treatment
				  from the mental health professional (MHP) assessment provided with three hours
				  of the individual's arrival at the facility; and
(g) Include:
(i) The date and time the designated crisis
				  responder (DCR) evaluated the individual in accordance with the detention
				  criteria under chapter 71.05 RCW; and
(ii) The DCR's determination of whether the
				  individual should be detained.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1150 - Mental health inpatient services-Triage-Discharge

Current through Register Vol. 24-14, July 15, 2024
A triage facility must:
(1) Provide discharge services for each
				  individual:
(a) Voluntarily admitted to the
				  facility; or
(b) Involuntarily
				  admitted to the facility if the individual is not transferred to another
				  facility;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1152 - Mental health inpatient services-Triage-Involuntary

Current through Register Vol. 24-14, July 15, 2024
An agency that elects to provide triage involuntary
					 services must meet all of the following requirements:
(1) The agency must have a memo of
				  understanding developed in consultation with local law enforcement agencies,
				  which details the population that the facility has capacity to serve. The memo
				  of understanding must include, at a minimum, a description of the facility's:
(a) Capacity to serve individuals with any
				  medication, medical, or accommodation needs;
(b) Capacity to serve individuals with
				  behavioral management needs;
(c)
				  Ability to provide either seclusion, or restraint, or both, to
				  individuals;
(d) Notification
				  procedures for discharge of individuals; and
(e) Procedures for notifying the appropriate
				  law enforcement agency of an individual's release, transfer, or hold for up to
				  twelve hours to allow the peace officer to reclaim the individual.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1154 - Mental health inpatient services-Competency evaluation and restoration

Current through Register Vol. 24-14, July 15, 2024
A behavioral health agency may provide competency
					 evaluation and restoration treatment services to individuals under chapter
					 10.77 RCW when the department's division of behavioral health and recovery
					 (DBHR) certifies the services.
(1) In
				  addition to meeting the agency licensure, certification, administration,
				  personnel, and clinical requirements in WAC
				  388-877-0100
				  through
				  388-877-0680
				  and the inpatient services requirements in WAC 388-877-1118 through
				  388-877-1132, an agency providing competency evaluation and restoration
				  services must be licensed by the department of health as:
(a) A residential treatment facility
				  consistent with chapter 246-337 WAC;
(b) A general hospital consistent with
				  chapter 246-320 WAC;
(c) A private
				  psychiatric hospital consistent with chapter 246-322 WAC; or
(d) An inpatient evaluation and treatment
				  facility as provided in WAC 388-877-1134 and consistent with chapter 246-337
				  WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1156 - Mental health inpatient services-Competency evaluation and restoration-Rights

Current through Register Vol. 24-14, July 15, 2024
(1)
				  An agency providing competency evaluation and restoration treatment services
				  must develop a statement of individual participant rights to ensure an
				  individual's rights are protected. The statement must incorporate at a minimum
				  all of the following. You have the right to:
(a) Receive services without regard to race,
				  creed, national origin, religion, gender, sexual orientation, age or
				  disability;
(b) Practice the
				  religion of choice as long as the practice does not infringe on the rights and
				  treatment of others or the treatment services and, as an individual
				  participant, the right to refuse participation in any religious
				  practice;
(c) Reasonable
				  accommodation in case of sensory or physical disability, limited ability to
				  communicate, limited English proficiency, or cultural differences;
(d) Respect, dignity and privacy, except that
				  agency staff members may conduct reasonable searches to detect and prevent
				  possession or use of contraband on the premises;
(e) Be free of sexual harassment;
(f) Be free of exploitation, including
				  physical and financial exploitation;
(g) Have all clinical and personal
				  information treated in accord with state and federal confidentiality rules and
				  laws;
(h) Review your clinical
				  record in the presence of the administrator or the administrator's designee and
				  the opportunity to request amendments or corrections;
(i) Receive a copy of the agency complaint
				  and grievance procedures upon request and to lodge a complaint or grievance
				  with the agency if you believe your rights have been violated; and
(j) File a complaint with the department when
				  you believe the agency has violated a Washington Administrative Code (WAC)
				  requirement that regulates facilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION ELEVEN - WITHDRAWAL MANAGEMENT, RESIDENTIAL SUBSTANCE USE DISORDER, AND MENTAL HEALTH INPATIENT SERVICES › Section 388-877-1158 - Mental health inpatient services-Competency evaluation and restoration-Seclusion and restraint

Current through Register Vol. 24-14, July 15, 2024
(1) An individual
				  receiving either competency evaluation or restoration treatment services, or
				  both has the right to be free from seclusion and restraint, including chemical
				  restraint except as otherwise provided in this section or otherwise provided by
				  law. The agency must do all of the following:
(a) Develop, implement, and maintain policies
				  and procedures to ensure that seclusion and restraint procedures are used only
				  to the extent necessary to ensure the safety of an individual and in accordance
				  with WAC
				  246-322-180
				  or
				  246-337-110,
				  whichever is applicable.
(b) Ensure
				  that the use of seclusion or restraint occurs only when there is imminent
				  danger to self or others and less restrictive measures have been determined to
				  be ineffective to protect the individual or other from harm and the reasons for
				  the determination are clearly documented in the individual's clinical
				  record.
(c) Ensure staff members
				  notify and receive authorization by a physician, physician assistant (PA) or
				  advanced registered nurse practitioner (ARNP) within one hour of initiating an
				  individual's seclusion or restraint.
(d) Ensure the individual is informed of the
				  reasons for use of seclusion or restraint and the specific behaviors which must
				  be exhibited in order to gain release from a seclusion or restraint
				  procedure.
(e) Ensure that an
				  appropriate clinical staff member observes the individual at least every
				  fifteen minutes and the observation is recorded in the individual's clinical
				  record.
(f) If the use of seclusion
				  or restraint exceeds twenty-four hours, ensure that a physician has assessed
				  the individual and has written a new order if the intervention will be
				  continued. This procedure must be repeated for each twenty-four hour period
				  that seclusion or restraint is used.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0120 - Outpatient mental health services-Clinical record content and documentation (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0120, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0130 - Outpatient mental health services-Assessment standards (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0130, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0135 - Outpatient mental health services-Individual service plan (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0135, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0140 - Outpatient mental health services-Brief intervention treatment (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0140, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0150 - Outpatient mental health services-Group therapy services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0150, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0155 - Outpatient mental health services-Family therapy services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0155, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0170 - Outpatient mental health services-Case management services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0170, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0180 - Optional outpatient mental health services requiring program-specific certification-Psychiatric medication services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0180, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0190 - Optional outpatient mental health services requiring program-specific certification-Day support services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0190, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0195 - Optional outpatient mental health services requiring program-specific certification-Less restrictive alternative (LRA) support services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0195, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION ONE - OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877A-0197 - Outpatient mental health services-Residential treatment facility (RTF) (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0197, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION TWO - CRISIS MENTAL HEALTH SERVICES › Section 388-877A-0200 - Crisis mental health services-General

Current through Register Vol. 24-14, July 15, 2024
The rules in WAC
					 388-877A-0200 through 377A-0280
					 apply to behavioral health agencies that provide crisis mental health services.
					 The definitions in WAC
					 388-877-0200 also apply to crisis
					 mental health services. The department requires all agencies and providers
					 affected by this rule to fully comply with the applicable requirements in
					 chapter 388-877 WAC, chapter 388-877A WAC, chapter 388-877B WAC, and chapter
					 388-877C WAC no later than September 1, 2013.
(1) Crisis mental health services are
				  intended to stabilize an individual in crisis to:
(a) Prevent further deterioration;
(b) Provide immediate treatment and
				  intervention in a location best suited to meet the needs of the individual;
				  and
(c) Provide treatment services
				  in the least restrictive environment available.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION TWO - CRISIS MENTAL HEALTH SERVICES › Section 388-877A-0210 - Crisis mental health services - Agency staff requirements

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting the agency administrative and
					 personnel requirements in WAC
					 388-877-0400 through
					 388-877-0530, an agency providing
					 any crisis mental health service must ensure:
(1) All crisis mental health services are
				  provided by, or under the supervision of, a mental health
				  professional;
(2) Each staff member
				  working directly with an individual receiving any crisis mental health service
				  in WAC 388-877A-0230 through
				  388-877A-0270 receives:
(a) Clinical supervision from a mental health
				  professional and/or an independent practitioner licensed by department of
				  health; and
(b) Annual violence
				  prevention training on the safety and violence prevention topics described in
				  RCW
				   49.19.030. The staff member's personnel
				  record must document the training.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION TWO - CRISIS MENTAL HEALTH SERVICES › Section 388-877A-0220 - Crisis mental health services - Record content and documentation requirements

Current through Register Vol. 24-14, July 15, 2024
An agency providing any crisis mental health service in WAC
					 388-877A-0230 through
					 388-877A-0280 must maintain a
					 record that contains timely documentation. Documentation must include the
					 following, as applicable to the crisis service provided:
(1) A brief summary of each crisis service
				  encounter, including the date, time, and duration of the encounter;
(2) The names of the participants;
				  and
(3) A follow-up plan, including
				  any referrals for services, including emergency medical services.
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0220, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION TWO - CRISIS MENTAL HEALTH SERVICES › Section 388-877A-0230 - Crisis mental health services - Telephone support services

Current through Register Vol. 24-14, July 15, 2024
Telephone support services are services provided as a means
					 of first contact to an individual in crisis. These services may include
					 de-escalation and referral.
(1) An
				  agency providing telephone support services must:
(a) Respond to crisis calls
				  twenty-four-hours-a-day, seven-days-a week.
(b) Have a written protocol for the referral
				  of an individual to a voluntary or involuntary treatment facility for admission
				  on a seven-day-a-week, twenty-four-hour-a-day basis, including arrangements for
				  contacting the designated mental health professional.
(c) Assure communication and coordination
				  with the individual's mental health care provider, if indicated and
				  appropriate.
(d) Post a copy of the
				  statement of individual rights in a location visible to staff and agency
				  volunteers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877A - Outpatient mental health services › Section SECTION TWO - CRISIS MENTAL HEALTH SERVICES › Section 388-877A-0260 - Crisis mental health services - Stabilization services

Current through Register Vol. 24-14, July 15, 2024
Crisis stabilization services include short-term (less than
					 two weeks per episode) face-to-face assistance with life skills training and
					 understanding of medication effects on an individual. Stabilization services
					 may be provided to an individual as a follow-up to crisis services provided or
					 to any individual determined by a mental health professional to need additional
					 stabilization services. An agency providing crisis stabilization services
					 must:
(1) Ensure the services are
				  provided by a mental health professional, or under the supervision of a mental
				  health professional.
(2) Ensure the
				  services are provided in a setting that provides for the safety of the
				  individual and agency staff.
(3)
				  Have a written plan for training, staff back-up, information sharing, and
				  communication for staff members who are providing stabilization services in an
				  individual's private home or in a nonpublic setting.
(4) Have a protocol for requesting a copy of
				  an individual's crisis plan.
(5)
				  Ensure that a staff member responding to a crisis is able to be accompanied by
				  a second trained individual when services are provided in the individual's home
				  or other nonpublic location.
(6)
				  Ensure that any staff member who engages in home visits is provided by their
				  employer with a wireless telephone, or comparable device, for the purpose of
				  emergency communication as described in
				  RCW
				   71.05.710.
(7) Have a written protocol that allows for
				  the referral of an individual to a voluntary or involuntary treatment
				  facility.
(8) Have a written
				  protocol for the transportation of an individual in a safe and timely manner,
				  when necessary.
(9) Document all
				  crisis stabilization response contacts, including identification of the staff
				  person(s) who responded.
Statutory Authority:
						Chapters
						70.02,
						70.96A,
						71.05,
						71.24,
						71.34,
						74.50 RCW,
						RCW
						 74.08.090,
						43.20A.890, and 42 C.F.R. Part 8.
						WSR 13-12-053, § 388-877A-0260, filed 5/31/13, effective
						7/1/13.