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WAC 388-106-0100

How does the CARE tool measure mood and behaviors?

(1) When you do not meet the criteria for the clinically complex classification group, or the criteria for exceptional care, or for in-home only have a cognitive performance scale score of five or six, then the mood and behavior criteria listed in subsections (3) and (4) below determines your classification group. If you are eligible for more than one "B" group classification based on the two methodologies, CARE will place you in the highest group for which you qualify.
(2) For each behavior that the CARE tool has documented, the department will determine a status as "current" or "past" as defined in WAC 388-106-0010.
(3) CARE places you in the mood and behavior classification group only if you have one or more of the behavior/moods that also meets the listed status, frequency, and alterability as identified in the following chart:
Behavior/Mood
and Status, Frequency & Alterability
Assaultive
Current
Combative during personal care
Current
Combative during personal care
In past and addressed with current interventions
Crying tearfulness
Current, frequency 4 or more days per week
Delusions
In past, addressed with current interventions
Depression score of 14 or greater
N/A
Disrobes in public
Current and not easily altered
Easily irritable/agitated
Current and not easily altered
Eats nonedible substances
Current
Eats nonedible substances
In past, addressed with current interventions
Hallucinations
Current
Hiding items
In past, addressed with current interventions
Hoarding/collecting
In past, addressed with current interventions
Mental health therapy/program
Need
Repetitive complaints/questions
Current, daily
Repetitive complaints/questions
In past, addressed with current interventions
Repetitive movement/pacing
Current, daily
Resistive to care
Current
Resistive to care
In past, addressed with current interventions
Sexual acting out
Current
Sexual acting out
In past, addressed with current interventions
Spitting
Current and not easily altered
Spitting
In past, addressed with current interventions
Breaks/throws items
Current
Unsafe smoking
Current and not easily altered
Up at night and requires intervention
Current
Wanders exit seeking
Current
Wanders exit seeking
In past, addressed with current interventions
Wanders not exit seeking
Current
Wanders not exit seeking
In past, addressed with current interventions
Yelling/screaming
Current, frequency 4 or more days per week
or
(4) CARE places you in the mood and behavior classification group if you have a behavior point score greater than 1, your CPS score (as defined in WAC 388-106-0090) is greater than 2, and your ADL score (as defined in WAC 388-106-0105) is greater than 1.
Status
Intervention
Frequency
Weight
Past
No Intervention
N/A
0
Past
With Intervention
N/A
0.25
Current
N/A
1-3 days/wk
0.5
Current
N/A
4-6 days/wk
0.75
Current
N/A
Daily
1
Each current behavior (as shown in the table below) has a value from .5 to 6 depending on the severity and alterability. Each status combination (shown in the table above) has a weight from 0 to 1. Behavior points are determined by multiplying the value of each current behavior (from the list below) by the weight of the status combination (above). Behavior points for past behaviors will be determined by multiplying the easily altered value of the behavior from the table below by the appropriate weight from the table above (0 or .25).
The list of behaviors below is divided into categories. Each category has a point limit of how many points can be counted toward the total behavior point score as detailed below. The total behavior point score is determined by totaling the weight-adjusted values for each category below.
Behavior
Value
 
Easily Altered/Past
Not Easily Altered
1. Crying and Tearfulness
.5
1
2. Easily Irritable/Agitated
.5
1
3. Obsessive about health or body functions
.5
1
4. Repetitive Physical Movement
.5
1
5. Hiding Items
.5
1
6. Hoarding/Collecting
.5
1
7. Inappropriate Verbal Noise
.5
1
8. Wanders, not exit seeking
.5
1
Maximum total points after adjusting for status for behaviors 1-8 = 2
 
 
9. Repetitive anxious complaints/questions
1
2
10. Rummaging through or takes others belongings
1
2
11. Verbally Abusive
1
2
12. Yelling/Screaming
1
2
13. Spitting
1
2
14. Unrealistic Fears
1
2
15. Accuses others of stealing
1
2
Maximum total points after adjusting for status for behaviors 9-15 = 3
 
 
16. Resistive to care with words/gestures
2
3
17. Up at night, requires intervention
2
3
18. Unsafe cooking
2
3
19. Inappropriate toileting/menses activity
2
3
20. Unsafe smoking
2
3
21. Left home and became lost
2
3
22. Disrobes in public
2
3
Maximum total points after adjusting for status for behaviors 16-22 = 4
 
 
23. Injures self
4
5
24. Wanders/Exit seeking
4
5
25. Sexual acting out
4
5
26. Intimidating
4
5
27. Assaultive
4
5
28. Breaks, throws items
4
5
Maximum total points after adjusting for status for behaviors 23-28 = 10
 
 
29. Fire setting
5
6
30. Combative during care
5
6
31. Pica
5
6
32. Seeks vulnerable partners
5
6
Maximum total points after adjusting for status for behaviors 29-32 = 12
 
 
[Statutory Authority: RCW 74.08.090, 74.09.520, and 2007 c 522. WSR 08-10-022, § 388-106-0100, filed 4/25/08, effective 5/26/08. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 05-11-082, § 388-106-0100, filed 5/17/05, effective 6/17/05.]
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