Current through Register Vol. 24-18, September 15, 2024
(1) Evaluation
and treatment services are provided for individuals who are held for 120-hour
detention or on 14-day, 90-day, or 180-day civil commitment orders according to
chapters 71.05 and 71.34 RCW. An agency providing evaluation and treatment
services may choose to serve individuals who are held for 120-hour detention,
or on short-term commitment orders (14-day), long-term commitment orders
(90-day and 180-day), or all three. Agencies providing evaluation and treatment
services may also provide services for individuals who are not detained or
committed.
(2) An agency providing
evaluation and treatment services for youth must be a contracted child
long-term inpatient treatment facility (CLIP), except as specified in
subsection (4) of this section. The CLIP facility must develop a written plan
for assuring that services provided are appropriate to the developmental needs
of children, including all of the following:
(a) If there is not a child psychiatrist on
the staff, there must be a child psychiatrist available for
consultation.
(b) There must be a
psychologist with documented evidence of skill and experience in working with
children available either on the clinical staff or by consultation, responsible
for planning and reviewing psychological services and for developing a written
set of guidelines for psychological services.
(c) There must be a registered nurse, with
training and experience in working with psychiatrically impaired children, on
staff as a full-time or part-time employee who must be responsible for all
nursing functions.
(d) There must
be a social worker with experience in working with children on staff as a
full-time or part-time employee who must be responsible for social work
functions and the integration of these functions into the individual treatment
plan.
(e) There must be an
educational/vocational assessment of each resident with appropriate
educational/vocational programs developed and implemented or assured on the
basis of that assessment.
(f) There
must be an occupational therapist licensed under chapter 18.59 RCW available,
who has experience in working with psychia-trically impaired children,
responsible for occupational therapy functions and the integration of these
functions into treatment.
(g) There
must be a registered recreational therapist under chapter 18.230 RCW available,
who has had experience in working with psychiatrically impaired children,
responsible for the recreational therapy functions and the integration of these
functions into treatment.
(h)
Disciplinary policies and practices must be stated in writing and all of the
following must be true:
(i) Discipline must be
fair, reasonable, consistent, and related to the behavior of the resident.
Discipline, when needed, must be consistent with the individual treatment
plan.
(ii) Abusive, cruel,
hazardous, frightening, or humiliating disciplinary practices must not be used.
Seclusion and restraints must not be used as punitive measures. Corporal
punishment must not be used.
(iii)
Disciplinary measures must be documented in the individual service
record.
(i) Residents
must be protected from assault, abuse, and neglect. Suspected or alleged
incidents of nonaccidental injury, sexual abuse, assault, cruelty, or neglect
to a child must be reported to a law enforcement agency or to the department of
children, youth, and families and comply with chapter 26.44 RCW.
(j) Orientation material must be made
available to any facility personnel, clinical staff, or consultants informing
practitioners of their reporting responsibilities and requirements. Appropriate
local police department phone numbers must be available to personnel and
staff.
(k) When suspected or
alleged abuse is reported, the individual service record must reflect the fact
that an oral or written report has been made to the child protective services
of the department of children, youth, and families, or to a law enforcement
agency within the timelines identified in chapter 26.44 RCW. This note must
include the date and time that the report was made, the agency to which it was
made, and the signature of the person making the report. Contents of the report
need not be included in the individual service record.
(3) Agencies that provide child long-term
inpatient treatment services are exempt from the requirement in WAC
246-341-1131 to admit individuals
needing treatment seven days a week, 24 hours a day.
(4) An agency providing short-term
involuntary services to youth, which are not contracted as a CLIP facility, may
provide treatment for a child on a 180-day inpatient involuntary commitment
order only until the child is discharged from the order to the community, or
until a bed is available for that child in a CLIP facility.
(5) An agency providing evaluation and
treatment services must follow the service standards for inpatient and
residential mental health services in WAC
246-341-1105.
