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 FOUR - BEHAVIORAL HEALTH SERVICES-AGENCY ADMINISTRATION › Section 388-877-0425 - Agency administration-Individual clinical record system

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must:
(1)
				  Maintain a comprehensive clinical record system that includes policies and
				  procedures that protect an individual's personal health information;
(2) Ensure that the individual's personal
				  health information is shared or released only in compliance with applicable
				  state and federal law;
(3) If
				  maintaining electronic individual clinical records:
(a) Provide secure, limited access through
				  means that prevent modification or deletion after initial
				  preparation;
(b) Provide for a
				  backup of records in the event of equipment, media, or human error;
				  and
(c) Provide for protection from
				  unauthorized access, including network and internet access;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION FOUR - BEHAVIORAL HEALTH SERVICES-AGENCY ADMINISTRATION › Section 388-877-0430 - Agency administration-Treatment facility requirements

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must ensure that its treatment facility:
(1) Is not a personal residence;
(2) Has adequate private space for personal
				  consultation with an individual, staff charting, and therapeutic and social
				  activities, as appropriate;
(3) Has
				  secure storage of active or closed confidential records; and
(4) Has separate secure, locked storage of
				  poisonous external chemicals and caustic materials.
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 13-12-054, § 388-877-0430, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION FIVE - BEHAVIORAL HEALTH SERVICES-PERSONNEL › Section 388-877-0500 - Personnel-Agency policies and procedures

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must develop, implement, and maintain personnel
					 policies and procedures. The policies and procedures must meet the minimum
					 requirements of this chapter and include the following, as applicable:
(1)
Background checks.
Identification of how the agency conducts Washington state background checks on
				  each agency employee in contact with individuals receiving services, consistent
				  with
				  RCW
				   43.43.830 through
				  43.43.842.
(2)
Excluded provider list.
A
				  description of how the agency conducts a review of the list of excluded
				  individuals/entities (LEIE) searchable database (found on the Office of
				  Inspector General, U.S. Department of Health and Human Services website at
				  http://oig.hhs.gov) for each employee in contact with individuals receiving
				  services, to include a procedure on how the agency:
(a) Reviewed the LEIE database at the time of
				  the employee's hire and annually thereafter; and
(b) Assured the employee is not currently
				  debarred, suspended, proposed for debarment, declared ineligible, or voluntary
				  excluded from participating in transactions involving certain federal
				  funds.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION FIVE - BEHAVIORAL HEALTH SERVICES-PERSONNEL › Section 388-877-0510 - Personnel-Agency record requirements

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must maintain a personnel record for each person
					 employed by the agency.
(1) The
				  personnel record must contain all of the following:
(a) Documentation of annual training,
				  including documentation that the employee successfully completed training on
				  cultural competency.
(b) A signed
				  and dated commitment to maintain patient (individual) confidentiality in
				  accordance with state and federal confidentiality requirements.
(c) A record of an orientation to the agency
				  that includes all of the following:
(i) An
				  overview of the agency's policies and procedures.
(ii) The duty to warn or to take reasonable
				  precautions to provide protection from violent behavior when an individual has
				  communicated an actual imminent threat of physical violence against a
				  reasonably identifiable victim or victims. Taking reasonable precautions
				  includes notifying law enforcement as required and allowed by law.
(iii) Staff ethical standards and conduct,
				  including reporting of unprofessional conduct to appropriate
				  authorities.
(iv) The process for
				  resolving client complaints and grievances.
(d) A copy of the staff member's valid
				  current credential issued by the department of health for their scope of
				  practice.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION FIVE - BEHAVIORAL HEALTH SERVICES-PERSONNEL › Section 388-877-0515 - Personnel-Agency staff requirements

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide one or
					 more behavioral health service must ensure that all of the following staff
					 requirements are met:
(1) An agency
				  providing mental health services must ensure all of the following:
(a) Each mental health service is provided by
				  qualified staff members who meet the following for their scope of practice and
				  services provided:
(i) Professional
				  standards, including documented course-work, continuing education, and
				  training;
(ii) Clinical supervision
				  requirements; and
(iii) Licensure
				  and credentialing requirements.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION FIVE - BEHAVIORAL HEALTH SERVICES-PERSONNEL › Section 388-877-0520 - Personnel-Agency requirements for supervision of trainees, interns, volunteers, and students

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must ensure the following supervision requirements
					 are met for trainees, interns, volunteers, and students:
(1) Each trainee, intern, volunteer, and
				  student passes a background check;
(2) Each trainee, intern, volunteer, and
				  student who receives training at an agency must be assigned a supervisor who
				  has been approved by the agency administrator or designee.
The assigned supervisor:
(a) Must be credentialed by the department of
				  health for their scope of practice;
(b) Is responsible for all individuals
				  assigned to the trainee or intern they supervise; and
(c) Must review clinical documentation with
				  the trainee or intern as part of the supervision process; 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 FIVE - BEHAVIORAL HEALTH SERVICES-PERSONNEL › Section 388-877-0530 - Personnel Agency requirements for volunteers and student practicum (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 13-12-054, § 388-877-0530, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0600 - Clinical-Individual rights

Current through Register Vol. 24-14, July 15, 2024
(1) Each agency
				  licensed by the department to provide any behavioral health service must
				  develop a statement of individual participant rights applicable to the service
				  categories the agency is licensed for, to ensure an individual's rights are
				  protected in compliance with chapters 71.05, 71.12, and 71.34 RCW. In addition,
				  the agency must develop a general statement of individual participant rights
				  that incorporates at a minimum the following statements. "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 service. Individual participants have the
				  right to refuse participation in any religious practice;
(c) Be reasonably accommodated in case of
				  sensory or physical disability, limited ability to communicate, limited English
				  proficiency, and cultural differences;
(d) Be treated with respect, dignity and
				  privacy, except that staff may conduct reasonable searches to detect and
				  prevent possession or use of contraband on the premises;
(e) Be free of any 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
				  regulations;
(h) Review your
				  clinical record in the presence of the administrator or designee and be given
				  an opportunity to request amendments or corrections;
(i) Receive a copy of agency grievance system
				  procedures upon request and to file a grievance with the agency, or behavioral
				  health organization (BHO), if applicable, if you believe your rights have been
				  violated; and
(j) Lodge a complaint
				  with the department when you feel the agency has violated a WAC requirement
				  regulating "behavioral health agencies."
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0605 - DBHR complaint process

Current through Register Vol. 24-14, July 15, 2024
Any individual or the individual's representative may use
					 the division of behavioral health and recovery's (DBHR's) complaint process to
					 express concern or dissatisfaction with some aspect of a behavioral health
					 service. See WAC
					 388-877-0200
					 for terms and definitions used in this section that apply to the complaint
					 process.
(1) Information on contacting
				  the DBHR complaint manager can be found at
https://www.dshs.wa.gov/bha/division-behavioral-health-and-recovery/complaint-and-incident-management
.
(2) If DBHR conducts a complaint
				  investigation in order to resolve a complaint, agency representatives must
				  cooperate to allow DBHR representatives to:
(a) Examine any part of the facility at
				  reasonable times and as needed.
(b)
				  Review and evaluate agency records, including but not limited to:
(i) An individual's clinical record and
				  personnel file; and
(ii) The
				  agency's policies, procedures, fiscal records, and any other documents required
				  by DBHR to determine compliance and to resolve the complaint; and
(c) Conduct individual interviews
				  with staff members and individuals receiving 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 SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0610 - Clinical-Assessment

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service is responsible for an individual's assessment.
(1) The assessment must be:
(a) Conducted in person; and
(b) Completed by a professional appropriately
				  credentialed or qualified to provide one or more of the following services as
				  determined by state and federal law: Substance use disorder, mental health, and
				  problem and pathological gambling.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0620 - Clinical-Individual service plan

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service is responsible for an individual's service plan as
					 follows:
(1) The individual service
				  plan must:
(a) Be completed or approved by a
				  professional appropriately credentialed or qualified to provide one or more of
				  the following services:
(i) Mental
				  health;
(ii) Substance use
				  disorder; and
(iii) Problem and
				  pathological gambling 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 SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0630 - Clinical-Individual clinical record system (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 13-12-054, § 388-877-0630, filed 5/31/13, effective
						7/1/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0640 - Clinical-Additional record content

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service is responsible for an individual's clinical record
					 content. The clinical record must include:
(1) Documentation the individual received a
				  copy of counselor disclosure requirements as required for the counselor's
				  credential;
(2) Demographic
				  information;
(3) An
				  assessment;
(4) Documentation of
				  the individual's response when asked if:
(a)
				  The individual is under department of corrections (DOC) supervision;
(b) The individual is under civil or criminal
				  court ordered mental health or substance use disorder treatment; and
(c) There is a court order exempting the
				  individual participant from reporting requirements. A copy of the court order
				  must be included in the record if the participant claims exemption from
				  reporting requirements;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0650 - Clinical-Access to clinical records

Current through Register Vol. 24-14, July 15, 2024
Each agency licensed by the department to provide any
					 behavioral health service must:
(1)
				  Provide access to an individual's clinical record at the request of the
				  individual or, if applicable, the individual's designated representative, or
				  legal representative, or both. The agency must:
(a) Ensure that any material confidential to
				  another person, agency, or provider is not redisclosed.
(b) Make the clinical record available to the
				  requester within fifteen days of the request.
(c) Allow appropriate time and privacy for
				  the review.
(d) Have a clinical
				  staff member available to answer questions.
(e) Assure the charge for duplicating or
				  searching the record is at a rate not higher than the "reasonable fee" as
				  defined in
				  RCW
				   70.02.010.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0654 - How individuals may express concern about their rights, services, or treatment

Current through Register Vol. 24-14, July 15, 2024
(1) Individuals
				  who apply for, are eligible for, or receive behavioral health services
				  authorized by a behavioral health organization (BHO) may access the BHO's
				  grievance and appeal system to express concern about their rights, services, or
				  treatment.
(2) The BHO's grievance
				  and appeal system includes:
(a) A grievance
				  process as described in WAC
				  388-877-0660;
(b) An appeal process as described in WAC
				  388-877-0670; and
(c) Access to administrative hearings as
				  described in WAC
				  388-877-0675.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0655 - Grievance and appeal system and administrative hearings-Definitions

Current through Register Vol. 24-14, July 15, 2024
The terms and definitions in this section apply to the
					 behavioral health organization (BHO) grievance and appeal system and
					 administrative hearing rules. Other definitions that apply to behavioral health
					 services may be found at WAC
					 388-877-0200.
(1) "Administrative hearing" means a
				  proceeding before an administrative law judge to review an adverse benefit
				  determination or a BHO decision to deny or limit authorization of a requested
				  nonmedicaid service communicated on a notice of determination.
(2) "Adverse benefit determination" means, in
				  the case of medicaid services administered by the BHO, any one or more of the
				  following:
(a) The denial or limited
				  authorization of a requested service, including determinations based on the
				  type or level of service, requirements for medical necessity, appropriateness,
				  setting, or effectiveness of a covered benefit;
(b) The reduction, suspension, or termination
				  of a previously authorized service;
(c) The denial, in whole or in part, of
				  payment for a service;
(d) The
				  failure to provide services in a timely manner, as defined by the
				  state;
(e) The failure of a BHO to
				  act within the grievance and appeal system time frames as provided in WAC
				  388-877-0660 through
				  388-877-0670 regarding the
				  standard resolution of grievances and appeals;
(f) For a resident of a rural area with only
				  one BHO, the denial of an individual's request to exercise their right to
				  obtain services outside the network;
(g) The denial of an individual's request to
				  dispute a financial liability, including cost sharing, copayments, premiums,
				  deductibles, coinsurance, and other enrollee financial
				  liabilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0660 - Filing a grievance

Current through Register Vol. 24-14, July 15, 2024
(1) An individual
				  or individual's representative may file a grievance to express dissatisfaction
				  in person, orally, or in writing about any matter other than an adverse benefit
				  determination, as defined in WAC
				  388-877-0655, to:
(a) The behavioral health agency providing
				  the behavioral health services; or
(b) The behavioral health organization (BHO),
				  if the agency is contracted with the BHO.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0665 - Notice of adverse benefit determination

Current through Register Vol. 24-14, July 15, 2024
(1) A behavioral health organization's
				  (BHO's) notice of adverse benefit determination provided to an individual must
				  be in writing and in an easily understood format following  42 C.F.R. Sec. 438.10 (2017), which includes requirements that each notice:
(a) Be written in the individual's
				  non-English language, if applicable;
(b) Contains the BHO's toll-free and TTY/TDY
				  telephone number; and
(c) Explains
				  the availability of free written translation, oral interpretation to include
				  any non-English language, auxiliary aids such as American sign language,
				  TTY/TDY telephone services, and alternative formats to include large print and
				  Braille.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0670 - Filing an appeal

Current through Register Vol. 24-14, July 15, 2024
(1) An individual
				  may file an appeal to ask the behavioral health organization (BHO) to review an
				  adverse benefit determination that the BHO has communicated on a written notice
				  of adverse benefit determination as defined in WAC
				  388-877-0655. An individual's
				  representative may appeal an adverse benefit determination with the
				  individual's written consent. If a written notice of adverse benefit
				  determination was not received, an appeal may still be filed.
(2) The individual requesting review of an
				  adverse benefit determination must exhaust the appeals process before
				  requesting an administrative hearing.
(3) Appeals may be:
(a) Standard as described in subsection (6)
				  and (7) of this section; or
(b)
				  Expedited if the criteria in subsection (8) of this section 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 SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0675 - Administrative hearings

Current through Register Vol. 24-14, July 15, 2024
(1) An
				  administrative hearing (also known as "fair hearing") is a proceeding before an
				  administrative law judge (ALJ) that gives an individual, as defined in WAC
				  388-877-0655, an opportunity to
				  be heard in disputes about adverse benefit determinations or a decision of a
				  behavioral health organization (BHO) to deny or limit authorization of a
				  requested nonmedicaid service communicated on a notice of
				  determination.
(2) An individual
				  may request an administrative hearing for the following reasons:
(a) After an individual receives notice that
				  the BHO upheld an adverse benefit determination;
(b) After an individual receives a BHO
				  decision to deny or limit authorization of a requested nonmedicaid service
				  communicated on a notice of determination; or
(c) If the BHO does not act within the
				  grievance or appeal process time frames described in WAC
				  388-877-0660 and
				  388-877-0670. In this case, the
				  individual is considered to have exhausted the appeal process and has a right
				  to request an administrative hearing.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › BEHAVIORAL HEALTH SERVICES › Chapter 388-877 - Behavioral health services administrative requirements › Section SECTION SIX - BEHAVIORAL HEALTH SERVICES-CLINICAL › Section 388-877-0680 - Individual rights specific to medicaid recipients

Current through Register Vol. 24-14, July 15, 2024
(1) Medicaid recipients have general
				  individual rights and medicaid-specific rights when applying for, eligible for,
				  or receiving behavioral health services authorized by a behavioral health
				  organization (BHO).
(a) General rights that
				  apply to all individuals, regardless of whether an individual is or is not a
				  medicaid recipient, include:
(i) All
				  applicable statutory and constitutional rights;
(ii) The participant rights provided under
				  WAC 388-877-0600; and
(iii) Applicable necessary supplemental
				  accommodation services listed in chapter 388-472 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 SEVEN - OUTPATIENT SERVICES › Section 388-877-0700 - Outpatient services-General

Current through Register Vol. 24-14, July 15, 2024
Outpatient behavioral health services are intended to
					 improve or reduce symptoms and help facilitate resolution of situational
					 disturbances for individuals in the areas of relationships, employment, and
					 community integration.
(1) Outpatient
				  services include the following:
(a) Individual
				  mental health treatment services;
(b) Brief mental health intervention
				  treatment services;
(c) Group
				  mental health therapy services;
(d)
				  Family therapy mental health services;
(e) Rehabilitative case management mental
				  health services;
(f) Psychiatric
				  medication mental health services and medication support;
(g) Day support mental health
				  services;
(h) Mental health
				  outpatient services provided in a residential treatment facility
				  (RTF);
(i) Recovery support
				  services including:
(i) Supported employment
				  mental health and substance use disorder services;
(ii) Supportive housing mental health and
				  substance use disorder services;
(iii) Peer support mental health
				  services;
(iv) Wraparound
				  facilitation mental health services;
(v) Applied behavior analysis (ABA) mental
				  health services; and
(vi)
				  Consumer-run clubhouse mental health services.
(j) Level one outpatient substance use
				  disorder services;
(k) Level two
				  intensive outpatient substance use disorder services;
(l) Substance use disorder assessment only
				  services;
(m) Alcohol and drug
				  information school;
(n) Substance
				  use disorder information and crisis services;
(o) Substance use disorder emergency service
				  patrol services;
(p) Substance use
				  disorder screening and brief intervention services; and
(q) Problem and pathological gambling
				  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 388-877-0702 - Outpatient services-Individual mental health treatment services

Current through Register Vol. 24-14, July 15, 2024
(1) Individual mental
				  health treatment services are services designed to assist an individual in
				  attaining the goals identified in the individual service plan. The treatment
				  services are conducted with the individual and any natural supports as
				  identified by the individual.
(2)
				  An agency certified to provide individual treatment services must meet the
				  behavioral health agency licensure, certification, administration, personnel,
				  and clinical requirements in WAC
				  388-877-0300
				  through
				  388-877-0680.
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 388-877-0704 - Outpatient services-Brief mental health intervention treatment services

Current through Register Vol. 24-14, July 15, 2024
(1) Brief mental health
				  intervention treatment services are solution-focused and outcome-oriented
				  cognitive and behavioral interventions, intended to resolve situational
				  disturbances. These services do not require long term treatment, are generally
				  completed in six months or less, and do not include ongoing care, maintenance,
				  or monitoring of the individual's current level of function or assistance with
				  self-care or life skills training.
(2) An agency certified to provide brief
				  mental health intervention treatment services must meet the behavioral health
				  agency licensure, certification, administration, personnel, and clinical
				  requirements in WAC
				  388-877-0300
				  through
				  388-877-0680.
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 388-877-0706 - Outpatient services-Group mental health therapy services

Current through Register Vol. 24-14, July 15, 2024
Group mental health therapy services are provided to an
					 individual in a group setting to assist the individual in attaining the goals
					 described in the individual service plan. 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 group mental health services must:
(1) Have a written description of each
				  group's purpose;
(2) Ensure group
				  therapy services are provided with a staff ratio of one staff member for every
				  sixteen individuals;
(3) Ensure any
				  group containing more than twelve individuals has at least one facilitator or
				  co-facilitator that is an appropriately credentialed professional;
				  and
(4) Ensure group notes are
				  recorded in each individual's clinical record and include the requirements of
				  WAC
				  388-877-0640(15) for discharge information.
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 388-877-0708 - Outpatient services-Family therapy mental health services

Current through Register Vol. 24-14, July 15, 2024
(1) Family therapy
				  mental health services are services provided for the direct benefit of an
				  individual, with either family members, or other relevant persons, or both, in
				  attendance, with the consent of the individual.
(2) Interventions must identify and build
				  competencies to strengthen family functioning in relationship to the
				  individual's identified goals. The individual may or may not be
				  present.
(3) An agency certified to
				  provide family therapy mental health services must meet the behavioral health
				  agency licensure, certification, administration, personnel, and clinical
				  requirements in WAC
				  388-877-0300
				  through
				  388-877-0680.
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 388-877-0710 - Outpatient services-Rehabilitative case management mental health services

Current through Register Vol. 24-14, July 15, 2024
(1) Rehabilitative case
				  management mental health services are services that meet the ongoing
				  assessment, facilitation, care coordination and advocacy for options and
				  services to meet an individual's needs through communication and available
				  resources, to promote quality and effective outcomes during and following a
				  hospitalization.
(1) Rehabilitative
				  case management services support individual employment, education, and
				  participation in other daily activities appropriate to the individual's age,
				  gender, and culture, and assist individuals in resolving crises in the least
				  restrictive setting.
(2)
				  Rehabilitative case management services include specific rehabilitative
				  services provided to:
(a) Assist in an
				  individual's discharge from an inpatient facility; and
(b) Minimize the risk of readmission to an
				  inpatient setting.
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 388-877-0712 - Outpatient services-Psychiatric medication mental health services and medication support

Current through Register Vol. 24-14, July 15, 2024
Psychiatric medication mental health services are a
					 variety of activities related to prescribing and administering medication,
					 including monitoring an individual for side effects and changes as needed.
					 These services may only be provided with one of the outpatient mental health
					 services in WAC 388-877-0700(1)(a) through (e). An agency providing psychiatric
					 medication services may also provide medication support services, described in
					 subsections (2) and (3) of this section.
(1) An agency providing psychiatric
				  medication services must:
(a) Ensure that
				  medical direction and responsibility are assigned to a:
(i) Physician who is licensed to practice
				  under chapter 18.57 or 18.71 RCW, and is board-certified or board-eligible in
				  psychiatry;
(ii) Psychiatric
				  advanced registered nurse practitioner (ARNP); or
(iii) Physician assistant working with a
				  supervising psychiatrist;
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 388-877-0714 - Outpatient services-Day support mental health services

Current through Register Vol. 24-14, July 15, 2024
(1) Day support mental health services
				  provide a range of integrated and varied life skills training. Day support
				  services are designed to assist an individual in the acquisition of skills,
				  retention of current functioning, or improvement in the current level of
				  functioning, appropriate socialization, and adaptive coping skills.
(2) Services include training in basic living
				  and social skills, and educational, vocational, pre-vocational, and day
				  activities. Day support services may include therapeutic treatment.
(3) An agency certified to provide day
				  support services must meet the behavioral health agency licensure,
				  certification, administration, personnel, and clinical requirements in WAC
				  388-877-0300
				  through
				  388-877-0680.
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 388-877-0716 - Outpatient services-Mental health outpatient services provided in a residential treatment facility (RTF)

Current through Register Vol. 24-14, July 15, 2024
A residential treatment facility (RTF) may provide
					 outpatient mental health treatment services to an individual with a mental
					 disorder. An agency that operates an RTF that provides mental health treatment
					 services must:
(1) Ensure that the
				  facility is licensed by the department of health under chapter 246-337 WAC;
				  and
(2) Be certified for and
				  provide the following:
(a) Rehabilitative case
				  management services (see WAC 388-877-0710);
(b) Less restrictive alternative (LRA)
				  support services (see WAC 388-877-0805) if serving individuals on an LRA court
				  order or conditional release; and
(c) Psychiatric medication services and
				  medication support services (see WAC 388-877-0712).
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 388-877-0718 - Outpatient services-Recovery support-General

Current through Register Vol. 24-14, July 15, 2024
Recovery support services are intended to promote an
					 individual's socialization, recovery, self-advocacy, development of natural
					 support, and maintenance of community living skills.
(1) Recovery support services include:
(a) Supported employment services;
(b) Supportive housing services;
(c) Peer support services;
(d) Wraparound facilitation
				  services;
(e) Applied behavior
				  analysis (ABA) services; and
(f)
				  Consumer-run clubhouse 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 388-877-0720 - Outpatient services-Recovery support-Supported employment mental health and substance use disorder services

Current through Register Vol. 24-14, July 15, 2024
Supported employment mental health and substance use
					 disorder services assist in job search, placement services, and training to
					 help individuals find competitive jobs in their local communities.
(1) An agency that provides certified
				  supported employment services must meet the general requirements for recovery
				  support services in WAC 388-877-0718.
(2) A behavioral health agency that provides
				  supported employment services must have knowledge of and provide individuals
				  access to employment and education opportunities by coordinating efforts with
				  one or more entities that provide other rehabilitation and employment services,
				  such as:
(a) The department's division of
				  vocational rehabilitation (DVR), which provides supported employment under WAC
				  388-891-0840
				  by community rehabilitation program contract as described in WAC
				  388-892-0100;
(b) The department's community services
				  offices;
(c) Community, trade, and
				  technical colleges;
(d) The
				  business community;
(e) WorkSource,
				  Washington state's official site for online employment services;
(f) Washington state department of employment
				  security; and
(g) Organizations
				  that provide job placement within the community.
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 388-877-0722 - Outpatient services-Recovery support-Supportive housing mental health and substance use disorder services

Current through Register Vol. 24-14, July 15, 2024
Supportive housing mental health and substance use
					 disorder services support an individual's transition to community integrated
					 housing and support the individual to be a successful tenant in a housing
					 arrangement.
(1) An agency that
				  provides certified supportive housing services must meet the general
				  requirements for recovery support services in WAC 388-877-0718.
(2) A behavioral health agency that provides
				  supportive housing services must have knowledge of and provide housing related
				  collaborative activities to assist individuals in identifying, coordinating,
				  and securing housing or housing resources with entities such as:
(a) Local homeless continuum of care groups
				  or local homeless planning groups;
(b) Housing authorities that operate in a
				  county or city in the behavioral health organization's (BHO) regional service
				  area;
(c) Community action councils
				  that operate in a county or region in the BHO's regional service
				  area;
(d) Landlords of privately
				  owned residential homes; and
(e)
				  State agencies that provide housing resources.
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 388-877-0724 - Outpatient services-Recovery support-Peer support mental health services

Current through Register Vol. 24-14, July 15, 2024
(1) Peer support mental
				  health services provide a wide range of activities to assist an individual in
				  exercising control over their own life and recovery process through:
(a) Developing self-advocacy and natural
				  supports;
(b) Maintenance of
				  community living skills;
(c)
				  Promoting socialization; and
(d)
				  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.
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 388-877-0726 - Outpatient services-Recovery support-Wraparound facilitation mental health services

Current through Register Vol. 24-14, July 15, 2024
Wraparound facilitation mental health services address the
					 complex emotional, behavior, and social issues of an identified individual
					 twenty years of age or younger, and the individual's family.
(1) Wraparound facilitation services are:
(a) Provided to an individual who requires
				  the services of a mental health provider and one or more child serving
				  systems;
(b) Focused and driven by
				  the needs of the identified family and the family's support community;
				  and
(c) Provided in partnership
				  with the individual, the individual's family, and the individual's mental
				  health provider.
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 388-877-0728 - Outpatient services-Recovery support-Applied behavior analysis mental health services

Current through Register Vol. 24-14, July 15, 2024
Applied behavior analysis (ABA) mental health services
					 assist children and their families to improve the core symptoms associated with
					 autism spectrum disorders or other developmental disabilities for which ABA
					 services have been determined to be medically necessary.
(1) ABA services support learning, skill
				  development, and assistance in any one or more of the following areas or
				  domains:
(a) Social;
(b) Behavior;
(c) Adaptive;
(d) Motor;
(e) Vocational; or
(f) Cognitive.
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 388-877-0730 - Outpatient services-Consumer-run recovery support-Clubhouses-Required clubhouse components

Current through Register Vol. 24-14, July 15, 2024
The division of behavioral health and recovery certifies
					 consumer-run clubhouses under the provision of
					 RCW
					  71.24.035. International center for clubhouse
					 development certification is not a substitute for certification by the state of
					 Washington.
(1) Required clubhouse
				  components include all of the following:
(a)
				  Voluntary member participation. Clubhouse members choose the way they use the
				  clubhouse and the staff with whom they work. There are no agreements,
				  contracts, schedules, or rules intended to enforce participation of members.
				  All member participation is voluntary. Clubhouse policy and procedures must
				  describe how members will have the opportunity to participate, based on their
				  preferences, in the clubhouse.
(b)
				  The work-ordered day.
(c)
				  Activities, including:
(i) Personal
				  advocacy;
(ii) Help with securing
				  entitlements;
(iii) Information on
				  safe, appropriate, and affordable housing;
(iv) Information related to accessing
				  medical, psychological, pharmacological and substance use disorder services in
				  the community;
(v) Outreach to
				  members during periods of absence from the clubhouse and maintaining contact
				  during periods of inpatient treatment;
(vi) In-house educational programs that use
				  the teaching and tutoring skills of members;
(vii) Connecting members with adult education
				  opportunities in the community;
(viii) An active employment program that
				  assists members to gain and maintain employment in full- or part-time
				  competitive jobs in integrated settings developed in partnership with the
				  member, the clubhouse, and the employer and time-limited, part-time community
				  jobs managed by the clubhouse with absentee coverage provided; and
(ix) An array of social and recreational
				  opportunities.
(d)
				  Operating at least thirty hours per week on a schedule that accommodates the
				  needs of the members.
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 388-877-0732 - Outpatient services-Consumer-run recovery support-Clubhouses-Management and operational requirements

Current through Register Vol. 24-14, July 15, 2024
The requirements for managing and operating a clubhouse
					 include all of the following:
(1)
				  Members, staff, and ultimately the clubhouse director, are responsible for the
				  operation of the clubhouse. The director must ensure opportunities for members
				  and staff to be included in all aspects of clubhouse operation, including
				  setting the direction of the clubhouse.
(2) Location in an area, when possible, where
				  there is access to local transportation and, when access to public
				  transportation is limited, facilitate alternatives.
(3) A distinct identity, including its own
				  name, mailing address, and phone number.
(4) A separate entrance and appropriate
				  signage that make the clubhouse clearly distinct, when co-located with another
				  community agency.
(5) An
				  independent board of directors capable of fulfilling the responsibilities of a
				  not-for-profit board of directors, when free-standing.
(6) An administrative structure with
				  sufficient authority to protect the autonomy and integrity of the clubhouse,
				  when under the auspice of another agency.
(7) Services are timely, appropriate,
				  accessible, and sensitive to all members.
(8) Members are not discriminated against on
				  the basis of any status or individual characteristic that is protected by
				  federal, state, or local law.
(9)
				  Written proof of a current fire/safety inspection:
(a) Conducted of all premises owned, leased
				  or rented by the clubhouse; and
(b)
				  Performed by all required external authorities (such as a state fire marshal
				  and liability insurance carrier).