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PDFWAC 388-880-042

Resident records—Purposes.

(1) The SCC shall maintain two types of records for each person court-detained for evaluation or civilly committed for treatment as a sexually violent predator. Such records shall be known as the clinical record and the medical record. Such records shall include:
(a) Clinical records—A record of mental health related treatment and behavior related matters such as:
(i) Evaluations, records, reports, and other documents obtained from other agencies relating to the person prior to the person's detention and/or commitment to the SCC.
(ii) Evaluations, clinical examinations, forensic measures, treatment plans charts, files, reports, responsive documents, grievances and other information made for or prepared by SCC personnel, contracted professionals, or others which relate to the person's care, control, and treatment during the person's detention or commitment to, the SCC.
(iii) Observation reports, memoranda to the resident, progress notes, behavior management reports, violation reports and other correspondence received at SCC or while on a secure community transition facility (SCTF) or other less restrictive alternative (LRA) placement.
(iv) Transitory and nontransitory documents will be retained pursuant to the DSHS approved retention schedule.
(b) Medical records—A record of medical care received by a resident before placement at SCC and while placed at SCC.
(i) All medical evaluations, records, reports, and other documents obtained from other agencies relating to the person's health status.
(ii) All medical evaluations, records, reports, and other documents created by SCC contracted and state personnel while the resident is placed at SCC.
(iii) Records made by contracted professional persons providing treatment or residential services may be maintained in their professional files, subject to contractual arrangement for SCC and department access to those records.
(iv) The SCC health clinic at the total confinement center on McNeil Island serves as the primary care provider and referring entity for all community based health care and treatment and as such is authorized to receive copies of all medical records pertaining to resident health care paid for by the department.
[Statutory Authority: Chapter 71.09 RCW and RCW 72.01.090. WSR 10-13-130, § 388-880-042, filed 6/22/10, effective 7/23/10. Statutory Authority: RCW 71.09.040(4). WSR 03-23-022, § 388-880-042, filed 11/10/03, effective 12/11/03. Statutory Authority: Chapter 71.09 RCW, 2000 c 44, 2001 c 286. WSR 02-02-054, § 388-880-042, filed 12/27/01, effective 1/27/02.]