Current through Register Vol. 24-18, September 15, 2024
(1) Agencies
certified for involuntary behavioral health residential and inpatient services
provide behavioral health intervention, assessment and treatment services in a
residential treatment facility or hospitals to individuals subject to a civil
commitment or court-order under chapter 71.05 or 71.34 RCW; or to individuals
who have been court ordered to receive treatment at a certified agency pursuant
to chapter 10.77 RCW. Involuntary residential and inpatient services under this
certification include the following services:
(a) In accordance with the service standards
in WAC 246-341-1133:
(i) Adult involuntary evaluation and
treatment; and
(ii) Youth
involuntary evaluation and treatment;
(b) In accordance with the service standards
in WAC 246-341-1135:
(i) Adult secure withdrawal management;
and
(ii) Youth secure withdrawal
management;
(c) Court
ordered treatment at a certified agency pursuant to chapter 10.77
RCW.
(2) An agency
providing involuntary behavioral health services must:
(a) Follow the applicable statutory
requirements in chapter 10.77, 71.05, or 71.34 RCW;
(b) Ensure that services are provided in a
secure environment. "Secure" means having:
(i) All doors and windows leading to the
outside locked at all times;
(ii)
Visual monitoring, in a method appropriate to the individual;
(iii) A space to separate persons who are
violent or may become violent from others when necessary to maintain safety of
the individual and others;
(iv) The
means to contact law enforcement immediately in the event of an elopement from
the facility; and
(v) Adequate
numbers of staff present at all times that are trained in facility security
measures;
(c) Provide
services, including admissions, seven days a week, 24 hours a day;
(d) Ensure that a mental health professional,
substance use disorder professional, if appropriate, and physician, physician
assistant, or psychiatric advanced registered nurse practitioner (ARNP) are
available 24 hours a day, seven days a week for consultation and communication
with the staff that provide direct care of individuals.
(3) An agency providing services under
chapter 71.05 or 71.34 RCW must:
(a) Ensure at
least daily contact between each involuntarily admitted individual and a mental
health professional, substance use disorder professional, or person with a
co-occurring disorder specialist enhancement as appropriate, for the purpose of
evaluation as to:
(i) The need for further
treatment;
(ii) Whether there is a
change in involuntary status; or
(iii) Possible discharge;
(b) For an individual who has been
delivered to the facility by a peace officer for evaluation, the individual
service record must contain:
(i) A statement
of the circumstances under which the individual was brought to the
unit;
(ii) The admission date and
time;
(iii) Determination of
whether to refer to a designated crisis responder (DCR) to initiate civil
commitment proceedings;
(iv) If
evaluated by a DCR, documentation that the evaluation was performed within the
required time period, the results of the evaluation, and the disposition of the
person;
(c) Upon
discharge of the individual the agency shall provide notification to the DCR
office responsible for the initial commitment, which may be a federally
recognized Indian tribe or other Indian health care provider if the DCR is
appointed by the health care authority, and the DCR office that serves the
county in which the individual is expected to reside.
(4) Agencies certified for involuntary
behavioral health residential and inpatient services must also follow the
certification standards for residential and inpatient behavioral health
services in WAC
246-341-1105.
(5) An agency certified for involuntary
behavioral health residential and inpatient services may choose to provide
services to individual on a less restrictive alternative order in accordance
with the requirements in WAC
246-341-0805.
