Revised Code of Washington
Chapter 71.05 - Behavioral Health Disorders.
71.05.027 - Integrated comprehensive screening and assessment process for substance use and mental disorders.

RCW 71.05.027
Integrated comprehensive screening and assessment process for substance use and mental disorders.

All persons providing treatment under this chapter shall also provide an integrated comprehensive screening and assessment process for substance use disorders and mental disorders adopted pursuant to RCW 71.24.630.

[ 2019 c 325 § 3004; 2018 c 201 § 3003; 2014 c 225 § 82; 2005 c 504 § 103.]
NOTES:

Effective date—2019 c 325: See note following RCW 71.24.011.


Findings—Intent—Effective date—2018 c 201: See notes following RCW 41.05.018.


Effective date—2014 c 225: See note following RCW 71.24.016.


Findings—Intent—2005 c 504: "The legislature finds that persons with mental disorders, chemical dependency disorders, or co-occurring mental and substance abuse disorders are disproportionately more likely to be confined in a correctional institution, become homeless, become involved with child protective services or involved in a dependency proceeding, or lose those state and federal benefits to which they may be entitled as a result of their disorders. The legislature finds that prior state policy of addressing mental health and chemical dependency in isolation from each other has not been cost-effective and has often resulted in longer-term, more costly treatment that may be less effective over time. The legislature finds that a substantial number of persons have co-occurring mental and substance abuse disorders and that identification and integrated treatment of co-occurring disorders is critical to successful outcomes and recovery. Consequently, the legislature intends, to the extent of available funding, to:
(1) Establish a process for determining which persons with mental disorders and substance abuse disorders have co-occurring disorders;
(2) Reduce the gap between available chemical dependency treatment and the documented need for treatment;
(3) Improve treatment outcomes by shifting treatment, where possible, to evidence-based, research-based, and consensus-based treatment practices and by removing barriers to the use of those practices;
(4) Expand the authority for and use of therapeutic courts including drug courts, mental health courts, and therapeutic courts for dependency proceedings;
(5) Improve access to treatment for persons who are not enrolled in medicaid by improving and creating consistency in the application processes, and by minimizing the numbers of eligible confined persons who leave confinement without medical assistance;
(6) Improve access to inpatient treatment by creating expanded services facilities for persons needing intensive treatment in a secure setting who do not need inpatient care, but are unable to access treatment under current licensing restrictions in other settings;
(7) Establish secure detoxification centers for persons involuntarily detained as gravely disabled or presenting a likelihood of serious harm due to chemical dependency and authorize combined crisis responders for both mental disorders and chemical dependency disorders on a pilot basis and study the outcomes;
(8) Slow or stop the loss of inpatient and intensive residential beds and children's long-term inpatient placements and refine the balance of state hospital and community inpatient and residential beds;
(9) Improve cross-system collaboration including collaboration with first responders and hospital emergency rooms, schools, primary care, developmental disabilities, law enforcement and corrections, and federally funded and licensed programs;
(10) Following the receipt of outcomes from the pilot programs in Part II of this act, if directed by future legislative enactment, implement a single, comprehensive, involuntary treatment act with a unified set of standards, rights, obligations, and procedures for adults and children with mental disorders, chemical dependency disorders, and co-occurring disorders; and
(11) Amend existing state law to address organizational and structural barriers to effective use of state funds for treating persons with mental and substance abuse disorders, minimize internal inconsistencies, clarify policy and requirements, and maximize the opportunity for effective and cost-effective outcomes." [ 2005 c 504 § 101.]


Severability—2005 c 504: "If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected." [ 2005 c 504 § 807.]


Application—Construction—2005 c 504: "This act shall be so applied and construed as to effectuate its general purpose to make uniform the law with respect to the subject of this act among those states which enact it." [ 2005 c 504 § 808.]


Captions, part headings, subheadings not law—2005 c 504: "Captions, part headings, and subheadings used in this act are not part of the law." [ 2005 c 504 § 809.]


Adoption of rules—2005 c 504: "(1) The secretary of the department of social and health services may adopt rules as necessary to implement the provisions of this act.
(2) The secretary of corrections may adopt rules as necessary to implement the provisions of this act." [ 2005 c 504 § 812.]


Effective dates—2005 c 504: "(1) Except for section 503 of this act, this act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect July 1, 2005.
(2) Section 503 of this act takes effect July 1, 2006." [ 2005 c 504 § 813.]


Alphabetization—Correction of references—2005 c 504: See note following RCW 71.05.020.

Structure Revised Code of Washington

Revised Code of Washington

Title 71 - Behavioral Health

Chapter 71.05 - Behavioral Health Disorders.

71.05.010 - Legislative intent.

71.05.012 - Legislative intent and finding.

71.05.020 - Definitions.

71.05.025 - Integration with chapter 71.24 RCW—Behavioral health administrative services organizations—Duty to institute procedures for timely consultation with resource management services.

71.05.026 - Behavioral health services contracts—Limitation on state liability.

71.05.027 - Integrated comprehensive screening and assessment process for substance use and mental disorders.

71.05.030 - Commitment laws applicable.

71.05.040 - Detention or judicial commitment of persons with developmental disabilities, impaired by substance use disorder, or suffering from dementia.

71.05.050 - Voluntary application for treatment of a behavioral health disorder—Rights—Review of condition and status—Detention—Person refusing voluntary admission, temporary detention.

71.05.100 - Financial responsibility.

71.05.110 - Compensation of appointed counsel.

71.05.120 - Exemptions from liability.

71.05.130 - Duties of prosecuting attorney and attorney general.

71.05.132 - Court-ordered treatment—Required notifications.

71.05.135 - Mental health commissioners—Appointment.

71.05.137 - Mental health commissioners—Authority.

71.05.140 - Records maintained.

71.05.145 - Offenders with behavioral health disorders who are believed to be dangerous—Less restrictive alternative.

71.05.148 - Assisted outpatient treatment—Petitions, court orders for less restrictive alternative treatment—Procedure.

71.05.150 - Petition for initial detention of persons with behavioral health disorders—Evaluation and treatment period—Procedure—Tribal jurisdiction.

71.05.153 - Emergency detention of persons with behavioral health disorders—Procedure.

71.05.154 - Detention of persons with behavioral health disorders—Evaluation—Consultation with emergency room physician.

71.05.156 - Evaluation for imminent likelihood of serious harm or imminent danger—Individual with grave disability.

71.05.157 - Evaluation by designated crisis responder—When required—Required notifications.

71.05.160 - Petition for initial detention.

71.05.170 - Acceptance of petition—Notice—Duty of state hospital.

71.05.180 - Detention period for evaluation and treatment.

71.05.182 - Six-month suspension of right to possess firearms after detention for evaluation and treatment of person who presents likelihood of serious harm as a result of behavioral health disorder, substance use disorder, or both—Automatic restorat...

71.05.190 - Persons not admitted—Transportation—Detention of arrested person pending return to custody.

71.05.195 - Not guilty by reason of insanity—Detention of persons who have fled from state of origin—Probable cause hearing.

71.05.201 - Petition for initial detention when designated crisis responder does not detain—Procedure—Court review.

71.05.203 - Notice—Petition for detention by family member, guardian, or conservator.

71.05.210 - Evaluation—Treatment and care—Release or other disposition.

71.05.212 - Evaluation—Consideration of information and records.

71.05.214 - Protocols—Development—Submission to governor and legislature.

71.05.215 - Right to refuse antipsychotic medicine—Rules.

71.05.217 - Rights—Posting of list.

71.05.220 - Property of committed person.

71.05.230 - Commitment beyond initial evaluation and treatment period—Petition for fourteen day involuntary treatment or ninety days of less restrictive alternative treatment—Procedure.

71.05.232 - Discharge reviews—Consultations, notifications required.

71.05.235 - Examination, evaluation of criminal defendant—Hearing.

71.05.236 - Involuntary commitment hearing—Postponement—Continuance.

71.05.237 - Judicial proceedings—Court to enter findings when recommendations of professional person not followed.

71.05.240 - Petition for up to 14 days of involuntary treatment or 90 days or 18 months of less restrictive alternative treatment—Probable cause hearing.

71.05.245 - Determination of grave disability, likelihood of serious harm, or need of assisted outpatient treatment—Use of recent history evidence.

71.05.260 - Release from involuntary intensive treatment—Exception.

71.05.270 - Temporary release.

71.05.280 - Additional commitment—Grounds.

71.05.285 - Additional confinement—Prior history evidence.

71.05.290 - Petition for additional commitment—Affidavit.

71.05.300 - Filing of petition—Appearance—Notice—Advice as to rights—Appointment of attorney, expert, or professional person.

71.05.310 - Time for hearing—Due process—Jury trial—Continuation of treatment.

71.05.320 - Remand for additional treatment—Less restrictive alternatives—Duration—Grounds—Hearing.

71.05.325 - Release—Authorized leave—Notice to prosecuting attorney.

71.05.330 - Early release—Notice to court and prosecuting attorney—Petition for hearing.

71.05.335 - Modification of order for inpatient treatment—Intervention by prosecuting attorney.

71.05.340 - Outpatient treatment or care—Conditional release.

71.05.350 - Assistance to released persons.

71.05.360 - Rights of involuntarily detained persons.

71.05.365 - Involuntary commitment—Individualized discharge plan.

71.05.380 - Rights of voluntarily committed persons.

71.05.425 - Persons committed following dismissal of sex, violent, or felony harassment offense—Notification of conditional release, final release, leave, transfer, or escape—To whom given—Definitions.

71.05.435 - Discharge of person from treatment entity—Notice to designated crisis responder office.

71.05.445 - Court-ordered behavioral health treatment of persons subject to department of corrections supervision—Initial assessment inquiry—Required notifications—Rules.

71.05.455 - Law enforcement referrals to behavioral health agencies—Reports of threatened or attempted suicide—Model policy.

71.05.457 - Law enforcement referrals to behavioral health agencies—Reports of threatened or attempted suicide—General authority law enforcement policy.

71.05.458 - Law enforcement referral—Threatened or attempted suicide—Contact by designated crisis responder.

71.05.500 - Liability of applicant.

71.05.510 - Damages for excessive detention.

71.05.520 - Protection of rights—Staff.

71.05.530 - Facilities part of comprehensive behavioral health program.

71.05.560 - Adoption of rules.

71.05.570 - Rules of court.

71.05.575 - Less restrictive alternative treatment—Consideration by court.

71.05.585 - Less restrictive alternative treatment.

71.05.590 - Enforcement, modification, or revocation of less restrictive alternative or conditional release orders—Initiation of inpatient detention procedures.

71.05.595 - Less restrictive alternative treatment order—Termination.

71.05.620 - Court files and records closed—Exceptions—Rules.

71.05.660 - Treatment records—Privileged communications unaffected.

71.05.680 - Treatment records—Access under false pretenses, penalty.

71.05.700 - Home visit by designated crisis responder or crisis intervention worker—Accompaniment by second trained individual.

71.05.705 - Provider of designated crisis responder or crisis outreach services—Policy for home visits.

71.05.710 - Home visit by mental health professional—Wireless telephone to be provided.

71.05.715 - Crisis visit by mental health professional—Access to information.

71.05.720 - Training for community mental health employees.

71.05.730 - Judicial services—Civil commitment cases—Reimbursement.

71.05.732 - Reimbursement for judicial services—Assessment.

71.05.740 - Reporting of commitment data.

71.05.745 - Single bed certification.

71.05.750 - Report—No bed available for person who meets detention criteria.

71.05.755 - Duties upon receipt of no bed available report—Corrective actions.

71.05.760 - Designated crisis responders—Training—Qualifications—Secure withdrawal management and stabilization facility capacity.

71.05.801 - Persons with developmental disabilities—Service plans—Habilitation services.

71.05.810 - Integration evaluation.

71.05.820 - Appearance by video technology.

71.05.940 - Equal application of 1989 c 420—Evaluation for developmental disability.

71.05.950 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.