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 SEVEN - OUTPATIENT SERVICES › Section 388-877-0734 - Outpatient services-Consumer-run recovery support-Clubhouses-Certification process

Current through Register Vol. 24-14, July 15, 2024
The division of behavioral health and recovery (DBHR)
					 grants certification based on compliance with the minimum standards in WAC
					 388-877-0738 through 388-877-0744.
(1)
				  To be certified to provide clubhouse services, an organization must comply with
				  all of the following:
(a) Meet all
				  requirements for applicable city, county and state licenses and
				  inspections.
(b) Complete and
				  submit an application for certification to DBHR.
(c) Successfully complete an on-site
				  certification review by DBHR to determine compliance with the minimum clubhouse
				  standards, as set forth in this chapter.
(d) Initial applicants that can show that
				  they have all organizational structures and written policies in place, but lack
				  the performance history to demonstrate that they meet minimum standards, may be
				  granted initial certification for up to one year. Successful completion of an
				  on-site certification review is required prior to the expiration of initial
				  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 SEVEN - OUTPATIENT SERVICES › Section 388-877-0736 - Outpatient services-Consumer-run recovery support-Clubhouses-Employment-related services

Current through Register Vol. 24-14, July 15, 2024
The following employment support activities must be
					 offered to clubhouse members:
(1)
				  Collaboration on creating, revising, and meeting individualized job and career
				  goals;
(2) Information about how
				  employment will affect income and benefits;
(3) Information on other rehabilitation and
				  employment services, including but not limited to:
(a) The division of vocational
				  rehabilitation;
(b) The state
				  employment services;
(c) The
				  business community;
(d) Job
				  placement services within the community; and
(e) Community mental health agency-sponsored
				  supported employment 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 SEVEN - OUTPATIENT SERVICES › Section 388-877-0738 - Outpatient services-Level one outpatient substance use disorder services

Current through Register Vol. 24-14, July 15, 2024
(1) ASAM level one
				  outpatient substance use disorder services provide a program of individual and
				  group counseling, education, and activities, in accordance with ASAM
				  criteria.
(2) An agency certified
				  to provide level one outpatient substance use disorder services must meet the
				  behavioral health agency licensure, certification, administration, personnel,
				  and clinical requirements in WAC
				  388-877-0300
				  through
				  388-877-0680.
(3) An agency certified to provide level one
				  outpatient substance use disorder services must ensure both of the following:
(a) Group therapy services are provided with
				  a staff ratio of one staff member for every sixteen individuals; and
(b) A group counseling session with twelve to
				  sixteen youths includes a second staff member.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SEVEN - OUTPATIENT SERVICES › Section 388-877-0740 - Outpatient services-Level two intensive outpatient substance use disorder services

Current through Register Vol. 24-14, July 15, 2024
ASAM level two intensive outpatient substance use disorder
					 services provide a concentrated program of individual and group counseling,
					 education, and activities, in accordance with ASAM criteria.
(1) An agency certified to provide level two
				  intensive outpatient treatment services must meet the behavioral health agency
				  licensure, certification, administration, personnel, and clinical requirements
				  in WAC
				  388-877-0300
				  through
				  388-877-0680.
(2) An agency providing level two intensive
				  outpatient treatment services for deferred prosecution must:
(a) Ensure that individuals admitted under a
				  deferred prosecution order receive services that meet the requirements of
				  RCW
				   10.05.150, including, that the individual
				  receives a minimum of seventy-two hours of treatment services within a maximum
				  of twelve weeks, which consist of the following during the first four weeks of
				  treatment:
(i) At least three sessions each
				  week, with each session occurring on separate days of the week;
(ii) Group sessions that must last at least
				  one hour; and
(iii) Attendance at
				  self-help groups in addition to the seventy-two hours of 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 SEVEN - OUTPATIENT SERVICES › Section 388-877-0742 - Outpatient services-Substance use disorder assessment only services

Current through Register Vol. 24-14, July 15, 2024
Substance use disorder assessment only services 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) A behavioral health
				  agency certified for assessment only services may choose to become certified to
				  also provide driving under the influence (DUI) assessment services described in
				  WAC 388-877-0820.
(2) An agency
				  certified to provide assessment only services must meet the behavioral health
				  agency licensure, certification, administration, personnel, and clinical
				  requirements in WAC
				  388-877-0300
				  through
				  388-877-0680
				  except where specifically indicated.
(3) An agency providing assessment only
				  services:
(a) Must review, evaluate, and
				  document information provided by the individual;
(b) May include information from external
				  sources such as family, support individuals, legal entities, courts, and
				  employers; and
(c) Is not required
				  to meet the individual service plan requirements in WAC
				  388-877-0620.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SEVEN - OUTPATIENT SERVICES › Section 388-877-0744 - Outpatient services-Information and assistance services-Substance use disorder services-General

Current through Register Vol. 24-14, July 15, 2024
Information and assistance services are considered
					 nontreatment substance use disorder services provided to support an individual
					 who has a need for interventions related to substance use.
(1) Information and assistance services
				  require additional program-specific certification by the department's division
				  of behavioral health and recovery and include:
(a) Alcohol and drug information
				  school;
(b) Information and crisis
				  services;
(c) Emergency service
				  patrol; and
(d) Screening and brief
				  intervention.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SEVEN - OUTPATIENT SERVICES › Section 388-877-0746 - Outpatient services-Substance use disorder information and assistance services-Alcohol and drug information school

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. In addition to meeting requirements for
					 substance use disorder information and assistance services in WAC 388-877-0744,
					 an agency providing alcohol and drug information school services must:
(1) Ensure courses are taught by a certified
				  information school instructor or a chemical dependency professional (CDP) who:
(a) Advises each student there is no
				  assumption the student has a substance use disorder and that the course is not
				  a therapy session;
(b) Follows a
				  department-approved curriculum;
(c)
				  Ensures each course has no fewer than eight hours of classroom instruction;
				  and
(d) Administers each enrolled
				  student the post-test for each course after the course is completed;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SEVEN - OUTPATIENT SERVICES › Section 388-877-0748 - Outpatient services-Substance use disorder information and assistance-Information and crisis services

Current through Register Vol. 24-14, July 15, 2024
Substance use disorder information and crisis services
					 provide an individual assistance or guidance related to substance use
					 disorders, twenty-four hours a day by telephone or in-person. In addition to
					 meeting requirements for substance use disorder information and assistance
					 services in WAC 388-877-0744, an agency providing information and crisis
					 services must:
(1) Have services
				  available to any individual twenty-four hours a day, seven days a
				  week;
(2) Ensure each staff member
				  completes forty hours of training that covers substance use disorders before
				  assigning the staff member unsupervised duties;
(3) Ensure a chemical dependency professional
				  (CDP), or a chemical dependency professional trainee (CDPT) under supervision
				  of a CDP, is available or on staff twenty-four hours a day;
(4) Maintain a current directory of all
				  certified substance use disorder service providers in the state; and
(5) Maintain a current list of local
				  resources for legal, employment, education, interpreter, and social and health
				  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 SEVEN - OUTPATIENT SERVICES › Section 388-877-0750 - Outpatient services-Substance use disorder information and assistance-Emergency service patrol

Current through Register Vol. 24-14, July 15, 2024
Emergency service patrol services provide transport
					 assistance to an intoxicated individual in a public place when a request has
					 been received from police, merchants, or other persons. In addition to meeting
					 requirements for substance use disorder information and assistance services in
					 WAC 388-877-0744, an agency providing emergency service patrol services must:
(1) Ensure the staff member providing
				  the service:
(a) Has proof of a valid
				  Washington state driver's license;
(b) Possesses annually updated verification
				  of first-aid and cardiopulmonary resuscitation training; and
(c) Has completed forty hours of training in
				  substance use disorder crisis intervention techniques and alcoholism and drug
				  abuse, to improve skills in handling crisis situations;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SEVEN - OUTPATIENT SERVICES › Section 388-877-0752 - Outpatient services-Substance use disorder information and assistance-Screening and brief intervention

Current through Register Vol. 24-14, July 15, 2024
Screening and brief intervention services are a
					 combination of information and assistance services designed to screen an
					 individual for risk factors that appear to be related to substance use
					 disorders, provide interventions, and make appropriate referral as needed.
					 These services may be provided in a wide variety of settings. In addition to
					 meeting requirements for substance use disorder information and assistance
					 services in WAC 388-877-0744, an agency providing screening and brief
					 intervention services must:
(1) Ensure
				  services are provided by a chemical dependency professional (CDP), a chemical
				  dependency professional trainee (CDPT) under the supervision of a CDP, or
				  another appropriately credentialed staff member;
(2) Ensure each staff member completes forty
				  hours of training that covers the following areas before assigning the staff
				  member unsupervised duties:
(a) Substance use
				  disorder screening and brief intervention techniques;
(b) Motivational interviewing; and
(c) Referral;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SEVEN - OUTPATIENT SERVICES › Section 388-877-0754 - Outpatient services-Problem and pathological gambling treatment services

Current through Register Vol. 24-14, July 15, 2024
Problem and pathological gambling treatment services
					 provide treatment to an individual that includes diagnostic screening and
					 assessment, and individual, group, couples, and family counseling and case
					 management. In addition to meeting the behavioral health agency licensure,
					 certification, administration, personnel, and clinical requirements in WAC
					 388-877-0300
					 through
					 388-877-0680
					 an agency that provides problem and pathological gambling treatment services
					 must:
(1) Have an outline of each
				  education session included in the service that is sufficient in detail for
				  another trained staff person to deliver the session in the absence of the
				  regular instructor;
(2) Maintain a
				  list or source of resources, including self-help groups, and referral options
				  that can be used by staff to refer an individual to appropriate
				  services;
(3) Limit the size of
				  group counseling sessions to no more than sixteen individuals; and
(4) Maintain a written procedure for the
				  response to medical and psychiatric emergencies.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION EIGHT - INVOLUNTARY AND COURT-ORDERED OUTPATIENT TREATMENT › Section 388-877-0800 - Involuntary and court-ordered-Noncompliance reporting for court-ordered substance use disorder treatment

Current through Register Vol. 24-14, July 15, 2024
An agency providing substance use disorder services must
					 report noncompliance, in all levels of care, for an individual ordered into
					 substance use disorder treatment by a court of law or other appropriate
					 jurisdictions. An agency that fails to report noncompliance for an individual
					 under chapter 46.61 RCW is subject to penalties as stated in
					 RCW
					  46.61.5056(4). An agency
					 providing treatment to a court-mandated individual, including deferred
					 prosecution, must develop procedures addressing individual noncompliance and
					 reporting requirements, including:
(1)
				  Completing an authorization to release confidential information form that meets
				  the requirements of 42 C.F.R. Part 2 and 45 C.F.R. Parts 160 and 164 or through
				  a court order authorizing the disclosure pursuant to  42 C.F.R. Part 2, Sections 2.63 through 2.67;
(2) Notifying
				  the designated crisis responder within three working days from obtaining
				  information of any violation of the terms of the court order for purposes of
				  revocation of the individual's conditional release, or department of
				  corrections (DOC) if the individual is under DOC supervision;
(3) Reporting and recommending action for
				  emergency noncompliance to the court or other appropriate jurisdiction(s)
				  within three working days from obtaining information on:
(a) An individual's failure to maintain
				  abstinence from alcohol and other nonprescribed drugs as verified by
				  individual's self-report, identified third party report confirmed by the
				  agency, or blood alcohol content or other laboratory test;
(b) An individual's report of subsequent
				  alcohol or drug related arrests; or
(c) An individual leaving the program against
				  program advice or an individual discharged for rule violation;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION EIGHT - INVOLUNTARY AND COURT-ORDERED OUTPATIENT TREATMENT › Section 388-877-0805 - Involuntary and court-ordered-Less restrictive alternative (LRA) or conditional release support mental health services

Current through Register Vol. 24-14, July 15, 2024
Less restrictive alternative (LRA) support and conditional
					 release mental health services are provided to individuals on a less
					 restrictive alternative court order or conditional release. An agency agrees to
					 provide or monitor the provision of court-ordered services, including
					 psychiatric and medical components of community support services. In addition
					 to meeting the behavioral health agency licensure, certification,
					 administration, personnel, and clinical requirements in WAC
					 388-877-0300
					 through
					 388-877-0680,
					 an agency providing court-ordered LRA support and conditional release services
					 must do all of the following:
(1) Have
				  a written policy and procedure that allows for the referral of an individual to
				  an involuntary treatment facility twenty-four 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 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION EIGHT - INVOLUNTARY AND COURT-ORDERED OUTPATIENT TREATMENT › Section 388-877-0815 - Involuntary and court-ordered-Substance use disorder counseling for RCW 4661-5056

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting the behavioral health agency
					 licensure, certification, administration, personnel, and clinical requirements
					 in WAC
					 388-877-0300
					 through
					 388-877-0680,
					 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 sixty 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 thirty 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
				  self-help groups for an individual with a diagnosis of substance dependence.
				  Participation must be documented in the individual's clinical record;
				  and
(e) The balance of the
				  sixty-day time period for individuals who complete intensive inpatient
				  substance use disorder treatment services must include, at a minimum, weekly
				  outpatient counseling sessions according to the individual service
				  plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION EIGHT - INVOLUNTARY AND COURT-ORDERED OUTPATIENT TREATMENT › Section 388-877-0820 - Involuntary and court-ordered-Driving under the influence (DUI) substance use disorder assessment services

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) In addition to meeting the behavioral
				  health agency licensure, certification, administration, personnel, and clinical
				  requirements in WAC
				  388-877-0300
				  through
				  388-877-0680,
				  an agency certified to provide DUI assessment services:
(a) Must review, evaluate, and document
				  information provided by the individual;
(b) May include information from external
				  sources such as family, support individuals, legal entities, courts, and
				  employers;
(c) Is not required to
				  meet the individual service plan requirements in WAC
				  388-877-0620;
				  and
(d) 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 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION NINE - CRISIS OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877-0900 - Crisis mental health services-General

Current through Register Vol. 24-14, July 15, 2024
Crisis mental health services are intended to stabilize an
					 individual in crisis to prevent further deterioration, provide immediate
					 treatment and intervention in a location best suited to meet the needs of the
					 individual, and provide treatment services in the least restrictive environment
					 available. An agency certified to provide crisis mental health services must
					 meet the general requirements in WAC
					 388-877-0300
					 through
					 388-877-0680
					 except the initial assessment, individual service plan, and clinical record
					 requirements in WAC
					 388-877-0610,
					 388-877-0620,
					 and
					 388-877-0640.
(1) Crisis services include:
(a) Crisis telephone support;
(b) Crisis outreach services;
(c) Crisis stabilization services;
(d) Crisis peer support services;
				  and
(e) Emergency involuntary
				  detention 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 NINE - CRISIS OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877-0905 - Crisis mental health services-Telephone support services

Current through Register Vol. 24-14, July 15, 2024
Mental health 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) In addition to meeting the general
				  requirements for crisis services in WAC 388-877-0900, an agency certified to
				  provide 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 crisis responder;
(c) Assure communication and coordination
				  with the individual's mental health care provider, if indicated and
				  appropriate; and
(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 388-877 - Behavioral health services administrative requirements › Section SECTION NINE - CRISIS OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877-0915 - Crisis mental health services-Stabilization services

Current through Register Vol. 24-14, July 15, 2024
Crisis mental health 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. In addition to meeting
					 the general requirements for crisis services in WAC 388-877-0900, an agency
					 certified to provide 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 non-public 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; and
(9) Document
				  all crisis stabilization response contacts, including identification of the
				  staff person(s) who responded.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION NINE - CRISIS OUTPATIENT MENTAL HEALTH SERVICES › Section 388-877-0920 - Crisis mental health services-Peer support services

Current through Register Vol. 24-14, July 15, 2024
Crisis mental health peer support services assist an
					 individual in exercising control over their own life and recovery process
					 through the practice of peer counselors sharing their own life experiences
					 related to mental illness to build alliances that enhance the individual's
					 ability to function.
(1) Peer support
				  services are intended to augment and not supplant other necessary mental health
				  services.
(2) In addition to
				  meeting the general requirements for crisis services in WAC 388-877-0900, an
				  agency certified to provide crisis peer support services must:
(a) Ensure services are provided by a person
				  recognized by the division of behavioral health and recovery (DBHR) as a peer
				  counselor, as defined in WAC
				  388-877-0200,
				  under the supervision of a mental health professional;
(b) Ensure services provided by a peer
				  counselor are within the scope of the peer counselor's training and
				  credential;
(c) Ensure that a peer
				  counselor responding to a crisis is accompanied by a mental health
				  professional;
(d) 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; and
(e) Ensure peer
				  counselors receive annual training that is relevant to their unique working
				  environment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION TEN - OPIOID TREATMENT PROGRAMS (OTP) › Section 388-877-1000 - Opioid treatment programs (OTP)-General

Current through Register Vol. 24-14, July 15, 2024
(1) Opioid treatment program services include
				  the dispensing of an opioid treatment medication, along with a comprehensive
				  range of medical and rehabilitative services, when clinically necessary, to an
				  individual to alleviate the adverse medical, psychological, or physical effects
				  incident to opioid use disorder. These services include withdrawal management
				  treatment and maintenance treatment.
(2) An agency must meet all the certification
				  requirements in WAC 388-877-1005 in order to provide opioid treatment program
				  services and:
(a) Be licensed by the
				  department as a behavioral health agency;
(b) Meet the applicable behavioral health
				  agency licensure, certification, administration, personnel, and clinical
				  requirements in WAC
				  388-877-0300
				  through
				  388-877-0680;
				  and
(c) Have policies and
				  procedures to support and implement the:
(i)
				  General requirements in WAC
				  388-877-0420;
				  and
(ii) Program-specific
				  requirements in WAC 388-877-1000 through 388-877-1025.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION TEN - OPIOID TREATMENT PROGRAMS (OTP) › Section 388-877-1005 - 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 do all of the following:
(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. 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; 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 TEN - OPIOID TREATMENT PROGRAMS (OTP) › Section 388-877-1010 - Opioid treatment programs (OTP)-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 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 federal
				  Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health
				  Services Administration (SAMHSA), the federal Drug Enforcement Administration
				  (DEA), the department, and the Washington state board of pharmacy of any theft
				  or significant loss of a controlled substance.
(2) Ensure there is an appointed medical
				  director who:
(a) Is licensed by department of
				  health (DOH) to practice medicine and practices within their scope of
				  practice;
(b) Is responsible for
				  all medical services performed; and
(c) Ensures all medical services provided are
				  in compliance with applicable federal, state, and local rules and
				  laws.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION TEN - OPIOID TREATMENT PROGRAMS (OTP) › Section 388-877-1015 - Opioid treatment programs (OTP)-Clinical record content and documentation requirements

Current through Register Vol. 24-14, July 15, 2024
In addition to the general clinical record content
					 requirements in WAC
					 388-877-0640,
					 an agency providing substance use disorder opioid treatment program services
					 must maintain an individual's clinical record. The clinical 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 of the results and the
				  discussion held with the individual regarding any positive drug screen
				  specimens in the counseling session immediately following the notification of
				  positive results; and
(6)
				  Documentation of all medical services (see WAC 388-877-1020 and 388-877-1025
				  regarding program physician responsibility and medication
				  management).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION TEN - OPIOID TREATMENT PROGRAMS (OTP) › Section 388-877-1020 - Opioid treatment programs (OTP)-Program physician 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 program physician, performs and meets the
					 following:
(1) The program physician
				  or medical practitioner under supervision of the program physician:
(a) Is responsible to verify an individual is
				  currently addicted to an opioid drug and that the person became addicted at
				  least twelve months before admission to treatment; or
(b) May waive the twelve 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 twenty-four months;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION TEN - OPIOID TREATMENT PROGRAMS (OTP) › Section 388-877-1025 - Opioid treatment programs (OTP)-Medication management

Current through Register Vol. 24-14, July 15, 2024
An agency providing substance use disorder 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 Food
				  and Drug Administration under section 505 of the federal Food, Drug, and
				  Cosmetic Act (21
				  U.S.C. 355)  for use in the treatment of
				  opioid use disorder.
(2) An agency
				  providing an opioid treatment program that is fully compliant with the
				  procedures of an investigational use of a drug and other conditions set forth
				  in the application may administer a drug that has been authorized by the Food
				  and Drug Administration under an investigational new drug application under
				  section 505(i) of the federal Food, Drug, and Cosmetic Act for investigational
				  use in the treatment of opioid addition. The following opioid treatment
				  medications are approved by the Food and Drug Administration for use in the
				  treatment of opioid use disorder:
(a)
				  Methadone; and
(b)
				  Buprenorphine.
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 388-877-1100 - Withdrawal management services-Adults

Current through Register Vol. 24-14, July 15, 2024
Substance use disorder withdrawal management services are
					 provided to an individual to assist in the process of withdrawal from
					 psychoactive substances in a safe and effective manner, in accordance with ASAM
					 criteria. For secure withdrawal management and stabilization services for
					 individuals who have been involuntarily committed, see WAC 388-877-1104.
(1) A behavioral health agency certified for
				  adult withdrawal management services may choose to also become certified to
				  provide youth withdrawal management services (see WAC 388-877-1102).
(2) An agency providing withdrawal management
				  services to an individual must:
(a) Be a
				  facility licensed by department of health under one of the following department
				  of health chapters:
(i) Hospital licensing
				  regulations (chapter 246-320 WAC);
(ii) Private psychiatric and alcoholism
				  hospitals (chapter 246-322 WAC);
(iii) Private alcohol and substance use
				  disorder hospitals (chapter 246-324 WAC); or
(iv) Residential treatment facility (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 388-877-1102 - Withdrawal management services-Youth

Current through Register Vol. 24-14, July 15, 2024
Youth withdrawal management services are substance use
					 disorder services provided to an individual seventeen years of age or younger.
					 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 adult withdrawal management requirements in WAC 388-877-1100, an agency
					 providing youth withdrawal management services must do all of the
					 following:
(1) Admit youth only with
				  the written permission of the youth's parent or, if applicable, the youth's
				  legal guardian. If a youth meets the requirements of a child in need of
				  services (CHINS), the youth may sign themselves into treatment.
(2) Assess the individual's need for referral
				  to the department's child welfare services.
(3) Ensure the following for individuals who
				  share a room:
(a) An individual fifteen years
				  of age or younger must not room with an individual eighteen years of age or
				  older; and
(b) An individual
				  sixteen or seventeen years of age must be evaluated for clinical
				  appropriateness before being placed in a room with an individual eighteen years
				  of age or 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 388-877-1104 - Secure withdrawal management and stabilization services-Adults

Current through Register Vol. 24-14, July 15, 2024
Secure withdrawal management and stabilization services
					 are provided to an individual to assist in the process of withdrawal from
					 psycho-active substances in a safe and effective manner, or medically stabilize
					 an individual after acute intoxication, in accordance with ASAM criteria and
					 chapters 71.05 and 71.34 RCW.
(1) In
				  addition to meeting the behavioral health agency licensure, certification,
				  administration, personnel, and clinical requirements in WAC
				  388-877-0300
				  through
				  388-877-0680,
				  an agency must:
(a) Meet the requirements for
				  withdrawal management services in WAC 388-877-1100; and
(b) Designate a physician or chemical
				  dependency professional as the professional person as defined in
				  RCW
				   71.05.020 in charge of clinical services at
				  that 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 388-877-1106 - Secure withdrawal management and stabilization services-Youth

Current through Register Vol. 24-14, July 15, 2024
In addition to the requirements for secure withdrawal and
					 stabilization services in WAC 388-877-1100, an agency certified to provide
					 secure withdrawal management and stabilization services to youth must meet the
					 following requirements:
(1)
				  Requirements for withdrawal management services for youth in WAC
				  388-877-1102;
(2) Requirements for
				  the posting of individual rights for minors in WAC 388-877-1120; and
(3) Requirements for inpatient services for
				  minors found in WAC 388-877-1128, 388-877-1130, and 388-877-1132.
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 388-877-1108 - Residential substance use disorder treatment services-General

Current through Register Vol. 24-14, July 15, 2024
Residential treatment services provide substance use
					 disorder treatment for an individual in a facility with twenty-four hours a day
					 supervision.
(1) Residential treatment
				  services include:
(a) Intensive inpatient
				  services, ASAM level 3.5;
(b)
				  Recovery house treatment services, ASAM level 3.1;
(c) Long-term residential treatment services,
				  ASAM level 3.1; and
(d) Youth
				  residential services, ASAM levels 3.1, 3.5, and 3.7.
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 388-877-1110 - Residential substance use disorder treatment services-Intensive inpatient services

Current through Register Vol. 24-14, July 15, 2024
(1) Intensive
				  inpatient services are substance use disorder residential treatment services
				  that provide a concentrated program of individual and group counseling,
				  education, and activities for an individual who has completed withdrawal
				  management and the individual's family to address overall functioning and to
				  demonstrate aspects of recovery lifestyle.
(2) In addition to meeting the applicable
				  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 intensive inpatient services must:
(a) Complete the individual service plan
				  within five days of admission;
(b)
				  Conduct and document at least weekly, one face-to-face individual substance use
				  disorder counseling session with the individual;
(c) Progress notes must include the date,
				  time, duration, participant names, and a brief summary of the session and the
				  name of the staff member who provided it;
(d) Document at least weekly, an individual
				  service plan review which determines continued stay needs and progress towards
				  goals; and
(e) Provide treatment
				  services in line with ASAM 3.5 components appropriate to youth or
				  adults.
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 388-877-1112 - Residential substance use disorder treatment services-Recovery house

Current through Register Vol. 24-14, July 15, 2024
(1) Recovery house
				  services are substance use disorder residential treatment services that provide
				  a program of care and treatment with social, vocational, and recreational
				  activities to aid in individual adjustment to abstinence, relapse prevention,
				  recovery skills development, and to aid in job training, employment, or
				  participating in other types of community services.
(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 recovery house services must:
(a) Provide no less than five hours per week
				  of treatment services in line with ASAM level 3.1;
(b) Progress notes should include the date,
				  time, duration, participant names, and a brief summary of the session and the
				  name of the staff member who provided it; and
(c) Conduct and document an individual
				  service plan review at least monthly.