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PDFWAC 246-341-1108

Residential substance use disorder treatment servicesGeneral.

Residential treatment services provide substance use disorder treatment for an individual in a facility with twenty-four hours a day supervision.
(1) Residential treatment services include:
(a) Intensive inpatient services, ASAM level 3.5;
(b) Recovery house treatment services, ASAM level 3.1;
(c) Long-term residential treatment services, ASAM level 3.1; and
(d) Youth residential services, ASAM levels 3.1, 3.5, and 3.7.
(2) An agency certified to provide residential treatment services must:
(a) Be a facility licensed by the department and meet the criteria under one of the following DOH 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;
(d) Have policies and procedures to support and implement the:
(i) General requirements in WAC 246-341-0420; and
(ii) Specific applicable requirements in WAC 246-341-1110 through 246-341-1116.
(e) Use ASAM criteria for admission, continued services, and discharge planning and decisions;
(f) Provide education to each individual admitted to the treatment facility on:
(i) Substance use disorders;
(ii) Relapse prevention;
(iii) Bloodborne pathogens; and
(iv) Tuberculosis (TB).
(g) Provide education or information to each individual admitted on:
(i) Emotional, physical, and sexual abuse;
(ii) Nicotine use disorder; and
(iii) The impact of substance use during pregnancy, risks to the fetus, and the importance of informing medical practitioners of chemical use during pregnancy.
(h) Maintain a list or source of resources, including self-help groups, and referral options that can be used by staff to refer an individual to appropriate services;
(i) Screen for the prevention and control of tuberculosis;
(j) Limit the size of group counseling sessions to no more than sixteen individuals;
(k) Have written procedures for:
(i) Urinalysis and drug testing, including laboratory testing; and
(ii) How agency staff members respond to medical and psychiatric emergencies.
(l) The individual service plan is initiated with at least one goal identified by the individual during the initial assessment or at the first service session following the assessment.
(3) An agency that provides services to a pregnant woman must:
(a) Have a written procedure to address specific issues regarding the woman's pregnancy and prenatal care needs; and
(b) Provide referral information to applicable resources.
(4) An agency that provides an assessment to an individual under RCW 46.61.5056 must also meet the requirements for driving under the influence (DUI) assessment providers in WAC 246-341-0820.
[Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1108, filed 4/16/19, effective 5/17/19.]
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