PDFWAC 388-101D-0405
When is a functional assessment required?
(1) The provider must complete a functional assessment of a client's behavior if:
(a) The exceptional behavior support needs section of the client's person-centered service plan indicates extensive support is necessary to prevent:
(i) Self-injury;
(ii) Sexual aggression;
(iii) Suicide attempt;
(iv) Emotional outburst;
(v) Property destruction;
(vi) Assault or injury to others; or
(vii) A behavior identified in the client's person-centered service plan under "prevention of other serious behavior problem(s)-specify";
(b) The client is prescribed a psychotropic medication on a pro re nata (PRN or as needed) basis to change a target behavior; or
(c) The provider uses—or plans to use—restrictive procedures or physical restraints as defined in WAC 388-101-3000.
(2) Target behavior means a behavior identified by the provider that needs to be modified or replaced to meet the client's health and safety needs.
(3) The client's functional assessment must:
(a) Be based on two or more of the following:
(i) Direct observation;
(ii) Interview with anyone who has personal knowledge of the client;
(iii) Questionnaire; or
(iv) Record review;
(b) Describe:
(i) Client history and antecedents pertinent to the target behavior;
(ii) The client's current status;
(iii) The target behavior; and
(iv) The apparent function of the target behavior; and
(c) Exist:
(i) In draft form before the effective date of the client being added to the provider's contract; and
(ii) In final form no later than forty-five calendar days after the effective date of the client being added to the provider's contract.
(4) A draft functional assessment must define the target behavior and its apparent function.
(5) The provider may revise a functional assessment written by another provider. The provider must identify the adapted functional assessment as its own.
(6) If the provider identifies a new target behavior for a client, the provider must complete a functional assessment for that behavior within forty-five days.
(7) The provider may use a community protection participant's risk assessment in place of a functional assessment if it was completed in the past eighteen months and describes:
(a) The client's history pertinent to the target behavior;
(b) The client's current status;
(c) The target behavior; and
(d) The apparent function of the target behavior.
(8) A functional assessment is required for any target behavior not included in the client's community protection program risk assessment.
[Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 21-12-061, § 388-101D-0405, filed 5/27/21, effective 6/27/21. WSR 16-14-058, recodified as § 388-101D-0405, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-3850, filed 12/21/07, effective 2/1/08.]