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246-341-1100  <<  246-341-1104 >>   246-341-1105

(Effective until May 1, 2023)

PDFWAC 246-341-1104

Secure withdrawal management and stabilization services.

Secure withdrawal management and stabilization services are provided to a voluntary or involuntary individual to assist in the process of withdrawal from psychoactive substances in a safe and effective manner, or medically stabilize an individual after acute intoxication, in accordance with chapters 71.05 and 71.34 RCW.
(1) An agency must meet the requirements for withdrawal management services in WAC 246-341-1100.
(2) An agency certified to provide secure withdrawal management and stabilization services must develop and implement policies and procedures to assure that a substance use disorder professional and licensed physician, physician assistant, or advanced registered nurse practitioner are available twenty-four hours a day, seven days a week for consultation and communication with the staff that provide direct care to individuals.
(3) An agency providing secure withdrawal management and stabilization services must document that each individual has received necessary screenings, assessments, examinations, or evaluations to determine the nature of the disorder and the treatment necessary, including:
(a) A telephone screening reviewed by a nurse, as defined in chapter 18.79 RCW, or medical practitioner prior to admission that includes current level of intoxication, available medical history, and known medical risks; and
(b) An examination and evaluation in accordance with RCW 71.05.210 within twenty-four hours of admission to the facility.
(4) For individuals admitted to the secure withdrawal management and stabilization facility, the clinical record must contain:
(a) A statement of the circumstances under which the individual was brought to the unit;
(b) The admission date and time;
(c) The date and time when the involuntary detention period ends;
(d) A determination of whether to refer to a DCR to initiate civil commitment proceedings;
(e) If an individual is admitted voluntarily and appears to meet the criteria for initial detention, documentation that an evaluation was performed by a DCR within the time period required in RCW 71.05.050, the results of the evaluation, and the disposition; and
(f) Review of the admission diagnosis and what information the determination was based upon.
(5) An agency certified to provide secure withdrawal management and stabilization services must ensure the treatment plan includes all of the following:
(a) A protocol for safe and effective withdrawal management, including medications as appropriate;
(b) Discharge assistance provided by substance use disorder professionals or persons with a co-occurring disorder specialist enhancement, including facilitating transitions to appropriate voluntary or involuntary inpatient services or to less restrictive alternatives as appropriate for the individual.
[Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160, 71.24.037 and chapters 71.05, 71.24, and 71.34 RCW. WSR 21-12-042, § 246-341-1104, filed 5/25/21, effective 7/1/21. Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1104, filed 4/16/19, effective 5/17/19.]
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