Revised Code of Washington
Chapter 71.05 - Behavioral Health Disorders.
71.05.585 - Less restrictive alternative treatment.

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

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.