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PDFWAC 246-341-1100

Withdrawal management servicesAdults.

Substance use disorder withdrawal management services are provided to an individual to assist in the process of withdrawal from psychoactive substances in a safe and effective manner, in accordance with ASAM criteria. For secure withdrawal management and stabilization services for individuals who have been involuntarily committed, see WAC 246-341-1104.
(1) A behavioral health agency certified for adult withdrawal management services may choose to also become certified to provide youth withdrawal management services (see WAC 246-341-1102).
(2) An agency providing withdrawal management services to an individual must:
(a) Be a facility licensed by the department under one of the following chapters:
(i) Hospital licensing regulations (chapter 246-320 WAC);
(ii) Private psychiatric and alcoholism hospitals (chapter 246-322 WAC);
(iii) Private alcohol and substance use disorder hospitals (chapter 246-324 WAC); or
(iv) Residential treatment facility (chapter 246-337 WAC).
(b) Be licensed by the department as a behavioral health agency;
(c) Meet the applicable behavioral health agency licensure, certification, administration, personnel, and clinical requirements in WAC 246-341-0300 through 246-341-0650; and
(d) Have policies and procedures to support and implement the specific requirements in this section.
(3) An agency must:
(a) Use ASAM criteria for admission, continued services, and discharge planning and decisions;
(b) Provide counseling to each individual that addresses the individual's:
(i) Substance use disorder and motivation; and
(ii) Continuing care needs and need for referral to other services.
(c) Maintain a list of resources and referral options that can be used by staff members to refer an individual to appropriate services;
(d) Post any rules and responsibilities for individuals receiving treatment, including information on potential use of increased motivation interventions or sanctions, in a public place in the facility;
(e) Provide tuberculosis screenings to individuals for the prevention and control of tuberculosis; and
(f) Provide HIV/AIDS information and include a brief risk intervention and referral as indicated.
(4) Ensure that each staff member providing withdrawal management services to an individual, with the exception of licensed staff members and chemical dependency professionals, completes a minimum of forty hours of documented training before being assigned individual care duties. This personnel training must include the following topics:
(a) Substance use disorders;
(b) Infectious diseases, to include hepatitis and tuberculosis (TB); and
(c) Withdrawal screening, admission, and signs of trauma.
(5) In addition to the general clinical record content requirements in WAC 246-341-0640, an agency providing substance use disorder withdrawal management services must maintain an individual's clinical record that contains:
(a) Documentation of a substance use disorder screening before admission;
(b) A voluntary consent to treatment form, or any release forms, signed and dated by the individual, or the individual's parent or legal guardian, except as authorized by law for protective custody and involuntary treatment;
(c) Documentation that the individual received HIV/AIDS information and a brief risk intervention and referral as indicated; and
(d) Documentation that a discharge summary, including a continuing care recommendation and a description of the individual's physical condition, was completed within seven working days of discharge.
[Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1100, filed 4/16/19, effective 5/17/19.]
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