Revised Code of Washington
Chapter 71.34 - Behavioral Health Services for Minors.
71.34.010 - Purpose.

RCW 71.34.010
Purpose.

(1) It is the purpose of this chapter to assure that minors in need of behavioral health care and treatment receive an appropriate continuum of culturally relevant care and treatment, including prevention and early intervention, self-directed care, parent-directed care, and involuntary treatment. To facilitate the continuum of care and treatment to minors in out-of-home placements, all divisions of the authority and the department that provide behavioral health services to minors shall jointly plan and deliver those services.
(2) It is also the purpose of this chapter to protect the rights of adolescents to confidentiality and to independently seek services for behavioral health disorders. Mental health and substance use disorder professionals shall guard against needless hospitalization and deprivations of liberty, enable treatment decisions to be made in response to clinical needs in accordance with sound professional judgment, and encourage the use of voluntary services. Mental health and substance use disorder professionals shall, whenever clinically appropriate, offer less restrictive alternatives to inpatient treatment. Additionally, all behavioral health care and treatment providers shall assure that minors' parents are given an opportunity to participate in the treatment decisions for their minor children. The behavioral health care and treatment providers shall, to the extent possible, offer services that involve minors' parents or family.
(3)(a) It is the intent of the legislature to enhance continuity of care for minors with serious behavioral health disorders that can be controlled or stabilized in a less restrictive alternative commitment. Within the guidelines stated in In re LaBelle, 107 Wn.2d 196 (1986), the legislature intends to encourage appropriate interventions at a point when there is the best opportunity to restore the minor to or maintain satisfactory functioning.
(b) For minors with a prior history or pattern of repeated hospitalizations or law enforcement interventions due to decompensation, the consideration of prior behavioral health history is particularly relevant in determining whether the minor would receive, if released, such care as is essential for his or her health or safety.
(c) Therefore, the legislature finds that for minors who are currently under a commitment order, a prior history of decompensation leading to repeated hospitalizations or law enforcement interventions should be given great weight in determining whether a new less restrictive alternative commitment should be ordered. The court must also consider any school behavioral issues, the impact on the family, the safety of other children in the household, and the developmental age of the minor.
(4) It is also the purpose of this chapter to protect the health and safety of minors suffering from behavioral health disorders and to protect public safety through use of the parens patriae and police powers of the state. Accordingly, when construing the requirements of this chapter the court must focus on the merits of the petition, except where requirements have been totally disregarded, as provided in In re C.W., 147 Wn.2d 259, 281 (2002). A presumption in favor of deciding petitions on their merits furthers both public and private interests because the mental and physical well-being of minors as well as public safety may be implicated by the decision to release a minor and discontinue his or her treatment.
(5) It is also the purpose of this chapter to assure the ability of parents to exercise reasonable, compassionate care and control of their minor children when there is a medical necessity for treatment and without the requirement of filing a petition under this chapter, including the ability to request and receive medically necessary treatment for their adolescent children without the consent of the adolescent.

[ 2020 c 302 § 62; 2020 c 185 § 1; 2019 c 381 § 1; 2018 c 201 § 5001; 1998 c 296 § 7; 1992 c 205 § 302; 1985 c 354 § 1.]
NOTES:

Reviser's note: This section was amended by 2020 c 185 § 1 and by 2020 c 302 § 62, each without reference to the other. Both amendments are incorporated in the publication of this section under RCW 1.12.025(2). For rule of construction, see RCW 1.12.025(1).


Short title—2019 c 381: See note following RCW 71.34.500.


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


Findings—Intent—Part headings not law—Short title—1998 c 296: See notes following RCW 74.13.025.


Part headings not law—Severability—1992 c 205: See notes following RCW 13.40.010.

Structure Revised Code of Washington

Revised Code of Washington

Title 71 - Behavioral Health

Chapter 71.34 - Behavioral Health Services for Minors.

71.34.010 - Purpose.

71.34.020 - Definitions.

71.34.300 - Evaluation and treatment program for minors—Authority's responsibility.

71.34.305 - Notice to parents, school contacts for referring students to inpatient treatment.

71.34.310 - Jurisdiction over proceedings under chapter—Venue.

71.34.315 - Mental health commissioners—Authority.

71.34.320 - Transfer of superior court proceedings to juvenile department.

71.34.325 - Court proceedings under chapter subject to rules of state supreme court.

71.34.330 - Attorneys appointed for minors—Compensation.

71.34.335 - Court records and files confidential—Availability.

71.34.351 - Delivery of minor to treatment facilities.

71.34.355 - Rights of minors undergoing treatment—Posting—Waiver—Presumption of incompetency.

71.34.356 - Possessions of minors undergoing treatment.

71.34.360 - No detention of minors after eighteenth birthday—Exceptions.

71.34.365 - Release of minor—Requirements.

71.34.375 - Family-initiated treatment—Notice to parents of available treatment options.

71.34.377 - Failure to notify parent or guardian of treatment options—Civil penalty.

71.34.379 - Notice to parent or guardian—Treatment options—Policy and protocol adoption—Report.

71.34.380 - Department, department of health, and authority to adopt rules to effectuate chapter.

71.34.385 - Uniform application of chapter—Training for designated crisis responders.

71.34.387 - Online training for behavioral health providers—State law and best practices when providing behavioral health services to children, youth, and families.

71.34.3871 - Stakeholder engagement efforts to measure impacts of the adolescent behavioral health care access act (2019 c 381)—Reports to governor and legislature.

71.34.390 - Redirection of Title XIX funds to fund placements within the state.

71.34.395 - Availability of treatment does not create right to obtain public funds.

71.34.400 - Eligibility for medical assistance under chapter 74.09 RCW—Payment by authority.

71.34.405 - Liability for costs of minor's treatment and care—Rules.

71.34.406 - Liability of costs of minor's treatment—Involuntary detention—Rules.

71.34.410 - Liability for performance of duties under this chapter limited.

71.34.415 - Judicial services—Civil commitment cases—Reimbursement.

71.34.420 - Evaluation and treatment services—Unavailability—Single bed certification.

71.34.430 - Release of adolescent's mental health information to parent without adolescent's consent.

71.34.440 - Detention of minors—Permission to leave facility.

71.34.500 - Self-admission of adolescent for inpatient behavioral health treatment or substance use disorder treatment—Requirements.

71.34.510 - Notice to parents of adolescent voluntarily admitted to inpatient treatment—When required—Duties of professional person in charge—Form of notice.

71.34.520 - Notice of intent to leave inpatient treatment by adolescent voluntarily admitted—Duties of receiving staff member—Time frame for discharge of adolescent.

71.34.530 - Outpatient treatment of adolescent.

71.34.600 - Parental request for determination of whether adolescent has a behavioral health disorder requiring inpatient treatment—Adolescent's consent not required for admission, evaluation, and treatment—Duties and obligations of professional pers...

71.34.610 - Authority's review of medical necessity of inpatient treatment of adolescent admitted to a facility due to parental request—Required considerations in making determination—Procedures for release—At-risk youth petition—Costs—Public funds.

71.34.620 - Adolescent's court petition for release from inpatient treatment facility—Judicial review of medical necessity.

71.34.630 - Adolescent not released from inpatient treatment facility by court petition—Release within thirty days—Initiation of proceedings to stop release.

71.34.640 - Evaluation of treatment of adolescents.

71.34.650 - Parental request for determination of whether adolescent has a behavioral health disorder requiring outpatient treatment—Adolescent's consent not required for evaluation and certain treatment—Treatment reviews—Discharge.

71.34.660 - Limitation on liability for admitting or accepting adolescent.

71.34.670 - "Appropriately trained professional person" defined by rule.

71.34.680 - Data collection and tracking system for adolescents receiving treatment.

71.34.700 - Evaluation of adolescent brought for immediate inpatient treatment—Temporary detention.

71.34.705 - Evaluation of adolescent brought for immediate inpatient treatment—Considerations.

71.34.706 - Evaluation of adolescent brought for immediate inpatient treatment—Considerations.

71.34.710 - Adolescent who presents likelihood of serious harm or is gravely disabled—Transport to inpatient facility—Petition for initial detention—Notice—Facility to evaluate and admit or release adolescent.

71.34.720 - Examination and evaluation of minor approved for inpatient admission—Referral to a secure withdrawal management and stabilization facility or substance use disorder treatment program—Right to communication, exception—Evaluation and treatm...

71.34.730 - Petition for fourteen-day commitment—Requirements.

71.34.735 - Commitment hearing—Continuance or postponement.

71.34.740 - Commitment hearing—Requirements—Findings by court—Commitment—Release.

71.34.750 - Petition for one hundred eighty-day commitment—Hearing—Requirements—Findings by court—Commitment order—Release—Successive commitments.

71.34.755 - Less restrictive alternative treatment—Requirements.

71.34.760 - Placement of minor in state evaluation and treatment facility or substance use disorder treatment program—Placement committee—Facility or program to report to committee.

71.34.770 - Release of minor—Conditional release—Discharge.

71.34.780 - Minor's failure to adhere to outpatient conditions—Deterioration of minor's functioning—Transport to facility or program—Order of apprehension and detention—Revocation of alternative treatment or conditional release—Hearings.

71.34.790 - Transportation for minors committed to state facility for one hundred eighty-day treatment.

71.34.795 - Transferring or moving persons from juvenile correctional institutions or facilities to evaluation and treatment facilities.

71.34.796 - Transfer of person committed to juvenile correction institution to institution or facility for juveniles with behavioral health disorders.

71.34.815 - Assisted outpatient treatment—Findings—Petition, court order for less restrictive alternative treatment—Procedure.

71.34.905 - Rule making—Access to files and records of court proceedings.

71.34.910 - Appearance by video technology.

71.34.915 - Authority outreach—Law and policy communication—Accessibility.

71.34.918 - Authority outreach—Parent portal—Report to legislature.