Section 388-877B-0150 - Secure withdrawal management and stabilization facilities-Admission and intake evaluation In addition to meeting the agency administrative and personnel requirements in WAC 388-877-0400 through 388-877-0530, a secure withdrawal management and stabilization facility must ensure all of the following requirements:
(1) The facility must obtain a copy of the petition for initial detention stating the evidence under which the individual was detained.(2) The facility must document that each individual has received evaluations to determine the nature of the disorder and the treatment necessary, including: (a) A telephone screening by a nurse, as defined in chapter 18.79 RCW, prior to admission that includes current level of intoxication, available medical history, and known medical risks;(b) A health assessment of the individual's physical condition to determine if the individual needs to be transferred to an appropriate hospital for treatment;(c) Examination and medical evaluation within twenty-four hours of admission by a licensed physician, advanced registered nurse practitioner, or physician assistant;(d) An evaluation by a chemical dependency professional within seventy-two hours of admission to the facility;(e) An assessment for substance use disorder and additional mental health disorders or conditions, using the global appraisal of individual needs - short screener (GAIN-SS) or its successor;(f) Development of an initial plan for treatment while in the facility;(g) Consideration of less restrictive alternative treatment at the time of admission; and(h) The admission diagnosis and what information the determination was based upon.(3) For individuals admitted to the secure withdrawal management and stabilization facility, the clinical record must contain: (a) A statement of the circumstances under which the person was brought to the unit;(b) The admission date and time;(c) The date and time when the involuntary detention period ends;(d) A determination of whether to refer to a designated crisis responder to initiate civil commitment proceedings;(e) If an individual is admitted voluntarily and appears to meet the criteria for initial detention, documentation that an evaluation was performed by a designated crisis responder within the time period required in RCW 71.05.050, the results of the evaluation, and the disposition;(f) Review of the client's current crisis plan, if applicable and available; and(g) Review of the admission diagnosis and what information the determination was based upon.(4) An individual who has been delivered to the facility by a peace officer for evaluation must be evaluated by a mental health professional within the following time frames: (a) Three hours of an adult individual's arrival;(b) Twelve hours of arrival for a child in an inpatient evaluation and treatment facility; or(c) At any time for a child who has eloped from a child long-term inpatient treatment facility and is being returned to the facility.(5) If a mental health professional or chemical dependency professional and physician, physician assistant, or psychiatric advanced registered nurse practitioner determine that the needs of an individual would be better served by placement in an evaluation and treatment facility then the individual must be referred to a more appropriate placement in accordance with RCW 71.05.210.Wash. Admin. Code § 388-877B-0150
Adopted by WSR 18-01-103, Filed 12/19/2017, effective 1/19/2018