Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-60A - Domestic violence perpetrator treatment program standards › CERTIFICATION AND APPLICATION REQUIREMENTS › Section 110-60A-0220 - Staff disclosures - What disclosures must direct service staff provide to participants seeking assessments or who are in the program?

Current through Register Vol. 24-14, July 15, 2024
(1) Prior to
				conducting an assessment or providing any level of treatment, each direct
				service treatment staff must document in the participant's record that the
				participant was provided with the direct treatment staff's counselor disclosure
				which must include:
(a) The name of the
				direct service treatment staff;
(b)
				The name of the domestic violence intervention treatment program and the
				program's business address and telephone number;
(c) The direct service staff member's
				Washington state credential number;
(d) The direct service staff member's
				education, training, and experience;
(e) The direct service staff member's
				designation by the department as a trainee, staff, or supervisor;
(f) The name and description of the types of
				counseling or interventions provided by the direct service staff, including the
				treatment approach, methods, and techniques employed in their domestic violence
				intervention treatment program;
(g)
				Fee information, including:
(i) The cost for
				each assessment, group or individual counseling session;
(ii) Billing practices including any advance
				payments and refunds; and
(iii) A
				statement that participants are not liable for any fees or charges for services
				rendered prior to receipt of the disclosure statement;
(h) The limits of confidentiality under
				RCW
				  18.19.180;
(i) Disclosure of the direct service staff's
				supervisory or consultation agreement, including the supervisor's contact
				information, if they are not the program's supervisor or if they are receiving
				supervision from another practitioner;
(j) Disclosure that the direct service staff
				person is not credentialed to diagnose mental disorders or to conduct
				psychotherapy as defined in WAC
				246-810-010(14) if it is outside their scope of practice;
(k) The following information regarding
				credentialed counselors:
(i) Counselors
				practicing counseling for a fee must be credentialed with the department of
				health for the protection of the public health and safety;
(ii) Credentialing of an individual with the
				department of health does not include a recognition of any practice standards,
				nor necessarily imply the effectiveness of any treatment;
(iii) The purpose of the Counselor
				Credentialing Act, chapter 18.19 RCW, which is to:
(A) Provide protection for public health and
				safety; and
(B) Empower the
				citizens of the state of Washington by providing a complaint process against
				those counselors who would commit acts of unprofessional conduct; and
(iv) A reference of the acts of
				unprofessional conduct in
				RCW
				  18.130.180 and the name, address, and contact
				telephone number within the department of health for complaints; and
(l) Signature and date blocks for
				the direct service staff and participant, including an attestation that the
				participant has read, understands, and was provided with the required
				disclosure statement.