In order to provide services to consumers on a less restrictive alternative court order, providers must be licensed to provide the psychiatric and medical service component of community support services and be certified by the mental health division to provide involuntary treatment services consistent with WAC
388-865-0484. In addition, the provider must:
(1) Document in the consumer clinical record and otherwise ensure:
(a) Detained and committed consumers are advised of their rights under chapter
71.05 or
71.34 RCW and as follows:
(i) To receive adequate care and individualized treatment;
(ii) To make an informed decision regarding the use of antipsychotic medication and to refuse medication beginning twenty-four hours before any court proceeding that the consumer has the right to attend;
(iii) To maintain the right to be presumed competent and not lose any civil rights as a consequence of receiving evaluation and treatment for a mental disorder;
(iv) Of access to attorneys, courts, and other legal redress;
(v) To have the right to be told statements the consumer makes may be used in the involuntary proceedings; and
(vi) To have the right to have all information and records compiled, obtained, or maintained in the course of treatment kept confidential as defined in chapters
71.05 and
71.34 RCW.
(b) A copy of the less restrictive alternative court order and any subsequent modifications are included in the clinical record;
(c) Development and implementation of an individual service plan which addresses the conditions of the less restrictive alternative court order and a plan for transition to voluntary treatment;
(d) That the consumer receives psychiatric treatment including medication management for the assessment and prescription of psychotropic medications appropriate to the needs of the consumer. Such services must be provided:
(i) At least weekly during the fourteen-day period;
(ii) Monthly during the ninety-day and one-hundred eighty day periods of involuntary treatment unless the attending physician determines another schedule is more appropriate, and they record the new schedule and the reasons for it in the consumer's clinical record.
(2) Maintain written procedures for managing assaultive and/or self-destructive patient behavior, and provide training to staff in these interventions;
(3) Have a written protocol for referring consumers to an inpatient evaluation and treatment facility for admission on a seven-day-a-week, twenty-four-hour-a-day basis;
(4) For consumers who require involuntary detention the protocol must also include procedures for:
(a) Contacting the designated mental health professional regarding revocations and extension of less restrictive alternatives, and
(b) Transporting consumers.
(5) Maintain written procedures for home visits in accordance with the requirements of RCW
71.05.700 through
71.05.715
[Statutory Authority: RCW 71.05.560, 71.05.700, 71.05.705, 71.05.710, 71.05.715, 71.05.720, and 71.24.035. 09-19-012, § 388-865-0466, filed 9/3/09, effective 10/4/09. Statutory Authority: RCW 71.24.035, 71.05.560, and chapters 71.24 and 71.05 RCW. 06-17-114, § 388-865-0466, filed 8/18/06, effective 9/18/06. Statutory Authority: RCW 71.05.560, 71.24.035 (5)(c), 71.34.800, 9.41.047, 43.20B.020, and43.20B.335 . 01-12-047, § 388-865-0466, filed 5/31/01, effective 7/1/01.]