RCW 71.05.585
Less restrictive alternative treatment.
(1) Less restrictive alternative treatment, at a minimum, includes the following services:
(a) Assignment of a care coordinator;
(b) An intake evaluation with the provider of the less restrictive alternative treatment;
(c) A psychiatric evaluation, a substance use disorder evaluation, or both;
(d) A schedule of regular contacts with the provider of the treatment services for the duration of the order;
(e) A transition plan addressing access to continued services at the expiration of the order;
(f) An individual crisis plan;
(g) Consultation about the formation of a mental health advance directive under chapter 71.32 RCW; and
(h) Notification to the care coordinator assigned in (a) of this subsection if reasonable efforts to engage the client fail to produce substantial compliance with court-ordered treatment conditions.
(2) Less restrictive alternative treatment may additionally include requirements to participate in the following services:
(a) Medication management;
(b) Psychotherapy;
(c) Nursing;
(d) Substance use disorder counseling;
(e) Residential treatment;
(f) Partial hospitalization;
(g) Intensive outpatient treatment;
(h) Support for housing, benefits, education, and employment; and
(i) Periodic court review.
(3) If the person was provided with involuntary medication under RCW 71.05.215 or pursuant to a judicial order during the involuntary commitment period, the less restrictive alternative treatment order may authorize the less restrictive alternative treatment provider or its designee to administer involuntary antipsychotic medication to the person if the provider has attempted and failed to obtain the informed consent of the person and there is a concurring medical opinion approving the medication by a psychiatrist, physician assistant working with a supervising psychiatrist, psychiatric advanced registered nurse practitioner, or physician or physician assistant in consultation with an independent mental health professional with prescribing authority.
(4) Less restrictive alternative treatment must be administered by a provider that is certified or licensed to provide or coordinate the full scope of services required under the less restrictive alternative order and that has agreed to assume this responsibility.
(5) The care coordinator assigned to a person ordered to less restrictive alternative treatment must submit an individualized plan for the person's treatment services to the court that entered the order. An initial plan must be submitted as soon as possible following the intake evaluation and a revised plan must be submitted upon any subsequent modification in which a type of service is removed from or added to the treatment plan.
(6) A care coordinator may disclose information and records related to mental health services pursuant to RCW 70.02.230(2)(k) for purposes of implementing less restrictive alternative treatment.
(7) For the purpose of this section, "care coordinator" means a clinical practitioner who coordinates the activities of less restrictive alternative treatment. The care coordinator coordinates activities with the designated crisis responders that are necessary for enforcement and continuation of less restrictive alternative orders and is responsible for coordinating service activities with other agencies and establishing and maintaining a therapeutic relationship with the individual on a continuing basis.
[ 2022 c 210 § 20; 2021 c 264 § 13; 2020 c 302 § 53; 2018 c 291 § 2. Prior: 2016 sp.s. c 29 § 241; 2016 c 45 § 5; 2015 c 250 § 16.]
NOTES:
Effective date—2018 c 291 §§ 1-4, 6, 7, 9, 11, 12, 13, and 15: See note following RCW 71.05.020.
Effective dates—2016 sp.s. c 29: See note following RCW 71.05.760.
Short title—Right of action—2016 sp.s. c 29: See notes following RCW 71.05.010.
Structure Revised Code of Washington
Chapter 71.05 - Behavioral Health Disorders.
71.05.010 - Legislative intent.
71.05.012 - Legislative intent and finding.
71.05.026 - Behavioral health services contracts—Limitation on state liability.
71.05.030 - Commitment laws applicable.
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.
71.05.153 - Emergency detention of persons with behavioral health disorders—Procedure.
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.
71.05.203 - 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.
71.05.232 - Discharge reviews—Consultations, notifications required.
71.05.235 - Examination, evaluation of criminal defendant—Hearing.
71.05.236 - Involuntary commitment hearing—Postponement—Continuance.
71.05.260 - 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.
71.05.310 - 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.
71.05.435 - Discharge of person from treatment entity—Notice to designated crisis responder office.
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.
71.05.575 - Less restrictive alternative treatment—Consideration by court.
71.05.585 - Less restrictive alternative treatment.
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.
71.05.710 - 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.
71.05.801 - 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.