Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-60A - Domestic violence perpetrator treatment program standards › TREATMENT REQUIREMENTS › Section 110-60A-0415 - Required cognitive and behavioral changes - Depending on their level of treatment, what changes must the program document that the participant has made?

Current through Register Vol. 24-14, July 15, 2024
(1) For levels
				one, two and three treatment, the program must ensure:
(a) The groups are facilitated by a program
				staff member who is designated by the department at the staff or supervisor
				level;
(b) A trainee may
				co-facilitate with a staff or supervisor, but must not facilitate the group
				alone at any time;
(c) The program
				uses evidence-based or promising practices (see WAC
				388-60A-0310) to facilitate the areas of treatment focus listed in this section;
(d) The cognitive and behavioral changes in
				this section are the minimum standard for certified domestic violence
				intervention treatment and the program must add topics, discussions, lessons,
				exercises, or assignments that meet the individual treatment needs of the
				participant;
(e) The areas of
				treatment in this section include cognitive and behavioral changes, which must
				be shared in treatment by the participant and documented by the program in the
				participant's individual record as those changes are identified;
(f) Each treatment program certified for
				levels one, two, and three domestic violence intervention treatment must
				document in each participant's file that the following cognitive and behavioral
				changes are documented for each participant and at a minimum include:
(i)
Types of abuse
: Individual
				and specific examples of how the participant has acknowledged that they have
				engaged in any abusive behaviors including but not limited to the following
				types of abuse:
(A) Physical;
(B) Emotional and psychological including
				terrorizing someone or threatening them;
(C) Verbal;
(D) Spiritual;
(E) Cultural;
(F) Sexual;
(G) Economic;
(H) Physical force against property or
				pets;
(I) Stalking;
(J) Acts that put the safety of partners,
				children, pets, other family members, or friends at risk; and
(K) Electronic, online, and social
				media;
(ii)
Belief
				systems
: Exploration of the participant's individual and cultural belief
				system, including acknowledgement of how those beliefs have allowed and
				supported violence against an intimate partner including privilege or
				oppression;
(A) Specific examples of how the
				participant's individual belief system has allowed or supported the use or
				threat of violence to establish power and control over an intimate partner;
				and
(B) Examples of how the
				participant has experienced societal approval and support for control through
				violence and the designation of an intimate partner or children as safe targets
				for this violence;
(iii)
Respectful relationships
: Documentation of new skills the
				participant has gained through exercises in learning and practicing respectful
				relationship skills including techniques to be non-abusive and non-controlling
				that include but are not limited to:
(A)
				Requesting and obtaining affirmative consent as an essential aspect of
				interpersonal relationships; and
(B) Respecting boundaries about others'
				bodies, possessions, and actions;
(iv)
Children
: Documentation of
				the participant's understanding of how children have been impacted by the
				participant's abuse and the incompatibility of domestic violence and abuse with
				responsible parenting including but not limited to:
(A) An understanding of the emotional impacts
				of domestic violence on children;
(B) An understanding of the long-term
				consequences that exposure to incidents of domestic violence may have on
				children; and
(C) The behavioral
				changes the participant has made and shared with the group as a result of this
				understanding;
(v)
Accountability
: Documentation of the participant's understanding
				of accountability for their abusive behaviors and their resulting behavioral
				changes including but not limited to:
(A)
				Documentation of the participant's understanding of how they are solely
				responsible for their abusive and controlling behavior and how they acknowledge
				this fact;
(B) An understanding of
				the need to avoid blaming the victim and the ability to consistently take
				responsibility for the participant's abusive behavior, including holding
				themselves and others in group accountable for their behavior;
(C) Documentation of a minimum of three
				separate individual examples of how the participant has taken accountability
				since beginning domestic violence intervention treatment which must be kept in
				the participant's file;
(D)
				Documented examples of how the participant has demonstrated spontaneous
				accountability in treatment, taking accountability in the moment;
(E) Documentation of the participant's
				accountability plan:
(I) The treatment program
				may assist the participant in developing the plan;
(II) In the plan the participant must make a
				commitment to giving up power and control, including abusive and controlling
				behaviors towards the victim and others;
(III) In the plan the participant must take
				accountability for specific abusive behaviors they have committed and have a
				plan for stopping all abusive behaviors;
(IV) In the plan the participant must
				identify examples of individualized and specific behavioral changes they have
				made which demonstrate an understanding of accountability; and
(V) In the plan the participant must identify
				their personal motivations, ethics, and values as they relate to maintaining
				healthy relationships; and
(F) Documentation that the participant has
				demonstrated an understanding of accountability in their past and current
				relationships, and their progress in taking accountability including the
				resulting cognitive and behavioral changes during treatment;
(vi)
Financial and legal
				obligations
: Documentation of the participant's understanding of why it
				is necessary for them to meet their financial and legal obligations to family
				members and the actions they are taking to meet those obligations;
(vii)
Empathy
: Documentation of
				the exercises or assignments on empathy building that demonstrate the
				participant's cognitive and behavioral changes as a result of increasing their
				empathy;
(viii)
Defense
				mechanisms
: Documentation of what the participant has identified as
				their individual defense mechanisms such as projection, denial, and detachment
				as well as healthy coping strategies the participant has learned, and the
				cognitive and behavioral changes they have made in dealing with unpleasant
				feelings;
(ix)
Self-care
: Documentation of individualized self-care practices the
				participant has learned and incorporated into their lives, and documentation of
				their understanding of why self-care is crucial for healthy
				relationships;
(x)
Support
				system
: Documentation of the participant's healthy support system,
				including who they have identified as part of that system and how they provide
				healthy support;
(xi)
Indicators
: Documentation of the indicators or red flags the
				participant has identified that they have engaged in, their understanding of
				how those behaviors are abusive, and the cognitive and behavioral changes they
				have made as a result;
(xii)
Cognitive distortions
: Documentation of the cognitive distortions
				or thinking errors the participant has identified, that they have used to
				justify their abusive behaviors, and how they have learned to reframe and
				change their thinking when those cognitive distortions are present;
(xiii)
Personal motivations
:
				Documentation of the participant's personal motivations for abusive behaviors
				and the cognitive and behavioral changes they have made to replace those
				beliefs and subsequent behaviors which include but are not limited to:
(A) A sense of entitlement;
(B) A belief that the participant should have
				power and control over their partner;
(C) Learned experience that abuse can get the
				participant what they want;
(D) The
				need to be right or win at all costs; and
(E) Insecurity and fear;
(xiv)
Relationship history
:
				Documentation of the participant's relationship history which documents common
				characteristics, motivations for abuse, applicable cognitive distortions, and
				indicators of domestic violence throughout the participant's history of
				intimate relationships;
(A) The treatment
				program and group may assist the participant in developing the relationship
				history; and
(B) The relationship
				history must focus on the participant's behaviors in an accountable manner
				without blaming others; and
(xv)
Criminogenic needs
:
				Documentation of treatment in group or individual sessions with level three
				participants that addresses their individual criminogenic needs as indicated
				through assessment and treatment planning.