S-748                 _______________________________________________

 

                                                   SENATE BILL NO. 3099

                        _______________________________________________

 

State of Washington                              49th Legislature                              1985 Regular Session

 

By Senators Talmadge, Newhouse, Halsan and Granlund

 

 

Read first time 1/16/85 and referred to Committee on Judiciary.

 

 


AN ACT Relating to juvenile mental health services; amending RCW 71.05.030, 71.06.010, and 71.06.260; adding a new chapter to Title 71 RCW; creating a new section; repealing RCW 71.06.150, 71.06.160, 71.06.170, 71.06.180, 71.06.190, 71.06.200, 71.06.210, 71.06.220, 71.06.230, 71.06.240, 71.06.250, and 72.23.070; providing an effective date; and declaring an emergency.

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

 

          NEW SECTION.  Sec. 1.     It is the purpose of this legislation to ensure that minors in need of mental health care and treatment receive appropriate care and treatment, and to enable treatment decisions to be made in response to clinical needs and in accordance with sound professional judgment while also recognizing parents' rights to participate in treatment decisions for their minor children, and to protect minors against needless hospitalization and deprivations of liberty.

 

          NEW SECTION.  Sec. 2.     Unless the context clearly requires otherwise, the definitions in this section apply throughout this chapter.

          (1) "Child psychiatrist" means a person having a license as a physician and surgeon in this state, who has had graduate training in child psychiatry in a program approved by the American Medical Association or the American Osteopathic Association, and who is board eligible or board certified in child psychiatry.

          (2) "Children's mental health specialist" means:

          (a) A mental health professional who has completed a minimum of one hundred actual hours, not quarter or semester hours, of specialized training devoted to the study of child development and the treatment of children; and

          (b) A mental health professional who has the equivalent of one year of full-time experience in the treatment of children under the supervision of a children's mental health specialist.

          (3) "Commitment" means a determination by a judge or court commissioner, made after a commitment hearing, that the minor is in need of inpatient diagnosis, evaluation, or treatment or that the minor is in need of less restrictive alternative treatment.

          (4) "County-designated mental health professional" means a mental health professional designated by one or more counties to perform the functions of a county-designated mental health professional described in this chapter.

          (5) "Department" means the department of social and health services.

          (6) "Evaluation and treatment facility" means a public or private facility or unit that is certified by the department to provide emergency, inpatient, residential, or outpatient mental health evaluation and treatment services for minors.  A physically separate and separately-operated portion of a state hospital may be designated as an evaluation and treatment facility for minors.  A facility which is part of or operated by the department or federal agency does not require certification.  No correctional institution or facility, juvenile court detention facility, or jail may be an evaluation and treatment facility within the meaning of this chapter.

          (7) "Evaluation and treatment program" means the total system of services and facilities coordinated and approved by a county or combination of counties for the evaluation and treatment of minors under this chapter.

          (8) "Gravely disabled minor" means a minor who, as a result of a mental disorder, is in danger of serious physical harm resulting from a failure to provide for his or her essential human needs of health or safety, or manifests severe deterioration in routine functioning evidenced by repeated and escalating loss of cognitive or volitional control over his or her actions and is not receiving such care as is essential for his or her health or safety or development.

          (9) "Inpatient treatment" means twenty-four-hour-per-day mental health care provided within a general hospital, psychiatric hospital, or residential treatment facility certified by the department as an evaluation and treatment facility for minors.

          (10) "Less restrictive alternative" or "less restrictive setting" means outpatient treatment provided to a minor who is not residing in a facility providing inpatient treatment as defined in this chapter.

          (11) "Likelihood of serious harm" means either:  (a) A substantial risk that physical harm will be inflicted by an individual upon his or her own person, as evidenced by threats or attempts to commit suicide or inflict physical harm on oneself;  (b) a substantial risk that physical harm will be inflicted by an individual upon another, as evidenced by behavior which has caused such harm or which places another person or persons in reasonable fear of sustaining such harm;  or (c) a substantial risk that physical harm will be inflicted by an individual upon the property of others, as evidenced by behavior which has caused substantial loss or damage to the property of others.

          (12) "Mental disorder" means any organic, mental, or emotional impairment that has substantial adverse effects on individual's cognitive or volitional functions.  The presence of alcohol abuse, drug abuse, delinquency, antisocial behavior, or mental retardation alone is insufficient to justify a finding of "mental disorder" within the meaning of this section.

          (13) "Mental health professional" means a psychiatrist, psychologist, psychiatric nurse, or social worker, and such other mental health professionals  as may be defined by rules adopted by the secretary under this chapter.

          (14) "Minor" means any person under the age of eighteen years.

          (15) "Outpatient treatment" means any of the nonresidential services mandated under chapter 71.24 RCW and provided by licensed services providers as identified by RCW 71.24.025(3).

          (16) "Parent" means:

          (a) A biological or adoptive parent who has legal custody of the child, including either parent if custody is shared under a joint custody agreement; or

          (b) A person or agency judicially appointed as legal guardian or custodian of the child.

          (17) "Professional person in charge" means a physician or other mental health professional empowered by an evaluation and treatment facility with authority to make admission and discharge decisions on behalf of that facility.

          (18) "Psychiatric nurse" means a registered nurse who has a bachelor's degree from an accredited college or university, and who has had, in addition, at least two years' experience in the direct treatment of mentally ill or emotionally disturbed persons, such experience gained under the supervision of a mental health professional.  "Psychiatric nurse" shall also mean any other registered nurse who has three years of such experience.

          (19) "Psychiatrist" means a person having a license as a physician or osteopath in this state who has completed residency training in psychiatry in a program approved by the American Medical Association or the American Osteopathic Association, and is board eligible or board certified in psychiatry.

          (20) "Psychologist" means a person licensed as a psychologist under chapter 18.83 RCW.

          (21) "Responsible other" means the minor, the minor's parent or estate, or any other person legally responsible for support of the minor.

          (22) "Secretary" means the secretary of the department or secretary's designee.

          (23) "Start of initial detention" means the time of arrival of the minor at the first evaluation and treatment facility offering inpatient treatment if the minor is being involuntarily detained at the time.  With regard to voluntary patients, "start of initial detention" means the time at which the minor gives notice of intent to leave under the provisions of this chapter.

 

          NEW SECTION.  Sec. 3.     (1) Any minor thirteen years or older may request and receive outpatient treatment without the consent of the minor's parent.  Parental authorization is required for outpatient treatment of a minor under the age of thirteen.

          (2) When in the judgment of the professional person in charge of an evaluation and treatment facility there is reason to believe that a minor is in need of inpatient treatment because of a mental disorder, and the facility provides the type of evaluation and treatment needed by the minor, and it is not feasible to treat the minor in any less restrictive setting or the minor's home, the minor may be admitted to an evaluation and treatment facility in accordance with the following requirements:

          (a) A minor under thirteen years of age may only be admitted on the application of the minor's parent.

          (b) A minor thirteen years or older may be voluntarily admitted by application of the parent.  Such application must be accompanied by the written consent, knowingly and voluntarily given, of the minor.

          (c) A minor thirteen years or older may, with the concurrence of the professional person in charge of an evaluation and treatment facility, admit himself or herself without parental consent to the evaluation and treatment facility, provided that notice is given by the facility to the minor's parent in accordance with the following requirements:

          (i) Notice of the minor's admission shall be in the form most likely to reach the parent within twenty-four hours of the minor's voluntary admission and shall advise the parent that the minor has been admitted to inpatient treatment; the location and telephone number of the facility providing such treatment; and the name of a professional person on the staff of the facility providing treatment who is designated to discuss the minor's need for inpatient treatment with the parent.

          (ii) The minor shall be released to the parent at the parent's request for release unless the facility files a petition with the superior court of the county in which treatment is being provided setting forth the basis for the facility's belief that the minor is in need of inpatient treatment and that release would constitute a threat to the minor's health or safety.

          (iii) The petition shall be signed by the professional person in charge of the facility or that person's designee.

          (iv) The parent may apply to the court for separate counsel to represent the parent if the parent cannot afford counsel.

          (v) There shall be a hearing on the petition, which shall be held within three judicial days from the filing of the petition.

          (vi) The hearing shall be conducted by a judge, court commissioner, or licensed attorney designated by the superior court as a hearing officer for such hearing.  The hearing may be held at the treatment facility.

          (vii) At such hearing, the facility must demonstrate by a preponderance of the evidence presented at the hearing that the minor is in need of inpatient treatment and that release would constitute a threat to the minor's health or safety.  The hearing shall not be conducted using the rules of evidence, and the admission or exclusion of evidence sought to be presented shall be within the exercise of sound discretion by the judicial officer conducting the hearing.

          (d) Written renewal of voluntary consent must be obtained from the applicant and the minor thirteen years or older no less than once every twelve months.

          (e) The minor's need for continued inpatient treatments shall be reviewed and documented no less than every one hundred eighty days.

          (3) A notice of intent to leave shall result in the following:

          (a) Any minor under the age of thirteen must be discharged immediately upon written request of the parent.

          (b) Any minor thirteen years or older voluntarily admitted may give notice of intent to leave at any time.  The notice need not follow any specific form so long as it is written and the intent of the minor can be discerned.

          (c) The staff member receiving the notice shall date it immediately, record its existence in the minor's clinical record, and send copies of it to the minor's attorney, if any, the county-designated mental health professional, and the parent.

          (d) The professional person in charge of the evaluation and treatment facility shall discharge the minor, thirteen years or older, from the facility within twenty-four hours after receipt of the minor's notice of intent to leave, unless the county-designated mental health professional files a petition for initial detention within the time prescribed by this chapter.

 

          NEW SECTION.  Sec. 4.     If a minor, thirteen years or older, is brought to an evaluation and treatment facility or hospital emergency room for immediate mental health services, the professional person in charge of the facility shall evaluate the minor's mental condition, determine whether  the minor suffers from a mental disorder, and whether the minor is in need of immediate inpatient treatment.  If it is determined that the minor suffers from a mental disorder, inpatient treatment is required, the minor is unwilling to consent to voluntary admission, and the professional person believes that the minor meets the criteria for initial detention set forth herein, the facility may detain or arrange for the detention of the minor for up to twelve hours in order to enable a county-designated mental health professional to evaluate the minor and commence initial detention proceedings under the provisions of this chapter.

 

          NEW SECTION.  Sec. 5.     (1) When a county-designated mental health professional receives information that a minor, thirteen years or older, as a result of a mental disorder presents a likelihood of serious harm or is gravely disabled, has investigated the specific facts alleged and of the credibility of the person or persons providing the information, and has determined that voluntary admission for inpatient treatment is not possible, the mental health professional may take the minor, or cause the minor to be taken, into custody and transported to an evaluation and treatment facility providing inpatient treatment.

          (2) Within twelve hours of the minor's arrival at the evaluation and treatment facility, the county-designated mental health professional shall serve on the minor a copy of the petition for initial detention, notice of initial detention, and statement of rights.  The county-designated mental health professional shall file with the court on the next judicial day following the initial detention the original petition for initial detention, notice of initial detention, and statement of rights along with an affidavit of service.  The county-designated mental health professional shall commence service of the petition for initial detention and notice of the initial detention on the minor's parent and the minor's attorney as soon as possible following the initial detention.

          (3) At the time of initial detention, the county-designated mental health professional shall advise the minor both orally and in writing that if admitted to the evaluation and treatment facility for inpatient treatment, a commitment hearing shall be held within seventy-two hours of the minor's provisional acceptance to determine whether probable cause exists to commit the minor for further mental health treatment.

          The minor shall be advised that he or she has a right to communicate immediately with an attorney and that he or she has a right to have an attorney appointed to represent him or her before and at the hearing if the minor is indigent.

          (4) Whenever the county designated mental health professional petitions for detention of a minor under this chapter, an evaluation and treatment facility providing seventy-two hour evaluation and treatment must immediately accept on a provisional basis the petition and the person.  Within twenty-four hours of the minor's arrival, the facility must evaluate the minor's condition and either admit or release the minor in accordance with this chapter.

          (5) If a minor is not approved for admission by the inpatient evaluation and treatment facility, the facility shall make such recommendations and referrals for further care and treatment of the minor as necessary.

 

          NEW SECTION.  Sec. 6.     (1) Each minor approved by the facility for inpatient admission shall be examined and evaluated by a children's mental health specialist as to the child's mental condition and by a physician as to the child's physical condition within twenty-four hours of admission.  Reasonable measures shall be taken to ensure medical treatment is provided for any condition requiring immediate medical attention.

          (2) The admitting facility shall take reasonable steps to notify immediately the minor's parent of the admission.

          (3) During the initial seventy-two hour treatment period, the minor has a right to associate or receive communications from parents or others unless the professional person in charge determines that such communication would be seriously detrimental to the minor's condition or treatment and so indicates in the minor's clinical record, and notifies the minor's parents of this determination.  In no event may the minor be denied the opportunity to consult an attorney.

          (4) If the evaluation and treatment facility admits the minor, it may detain the minor for evaluation and treatment for a period not to exceed seventy-two hours from the time of provisional acceptance.  The computation of such seventy-two hour period shall exclude Saturdays, Sundays, and holidays.  This initial treatment period shall not exceed seventy-two hours except when an application for voluntary inpatient treatment is received or a petition for fourteen-day commitment is filed.

          (5) Within twelve hours of the admission, the facility shall advise the minor of his or her rights as set forth in this chapter.

 

          NEW SECTION.  Sec. 7.     (1) The professional person in charge of an evaluation and treatment facility where a minor has been admitted involuntarily for the initial seventy-two hour treatment period under this chapter may petition to have a minor committed to an evaluation and treatment facility for fourteen-day diagnosis, evaluation, and treatment.

          (2) A petition for commitment of a minor under this section shall be filed with the superior court in the county where the minor is residing or being detained.

          (a) A petition for a fourteen-day commitment shall contain the following:

          (i) The name and address of the petitioner;

          (ii) The name of the minor alleged to meet the criteria for fourteen-day commitment;

          (iii) The name, telephone number, and address if known of every person believed by the petitioner to be legally responsible for the minor;

          (iv) A statement that the petitioner has examined the minor and finds that the minor's condition meets required criteria for fourteen-day commitment and the supporting facts therefor;

          (v) A statement that the minor has been advised of the need for voluntary treatment but has been unwilling or unable to consent to necessary treatment;

          (vi) A statement recommending the appropriate facility or facilities to provide the necessary treatment; and

          (vii) A statement concerning whether a less restrictive alternative to inpatient treatment is in the best interests of the minor.

          (b) A copy of the petition shall be personally delivered to the minor by the petitioner or petitioner's designee.  A copy of the petition shall be sent to the minor's attorney and the minor's parent.

 

          NEW SECTION.  Sec. 8.     (1) A commitment hearing shall be held within seventy-two hours of the minor's admission, excluding Saturday, Sunday, and holidays, unless a continuance is requested by the minor or the minor's attorney.

          (2) The commitment hearing shall be conducted at the superior court or an appropriate place at the facility in which the minor is being detained.

          (3) At the commitment hearing, the evidence in support of the petition shall be presented by the county prosecutor.

          (4) The minor shall be present at the commitment hearing unless the minor, with the assistance of the minor's attorney, waives the right to be present at the hearing.

          (5) At the commitment hearing, the minor shall have the following rights:

          (a) To be represented by an attorney;

          (b) To present evidence on his or her own behalf;

          (c) To question persons testifying in support of the petition.

          (6) If the minor has received medication within twenty-four hours of the hearing, the court shall be informed of that fact and of the probable effects of the medication.

          (7) Rules of evidence shall not apply in fourteen-day commitment hearings.

          (8) For a fourteen-day commitment, the court must find by a preponderance of the evidence that:

          (a) The minor has a mental disorder and presents a "likelihood of serious harm" or is "gravely disabled";

          (b) The minor is in need of evaluation and treatment of the type provided by the inpatient evaluation and treatment facility to which continued inpatient care is sought or is in need of less restrictive alternative treatment found to be in the best interests of the minor; and

          (c) The minor is unwilling or unable in good faith to consent to voluntary treatment.

          (9) If the court finds that the minor meets the criteria for a fourteen-day commitment, the court shall either authorize commitment of the minor for inpatient treatment or for less restrictive alternative treatment upon such conditions as are necessary.  If the court determines that the minor does not meet the criteria for a fourteen-day commitment, the minor shall be released.

          (10) Nothing in this section prohibits the professional person in charge of the evaluation and treatment facility from releasing the minor at any time, when, in the opinion of the professional person in charge of the facility, further impatient treatment is no longer necessary.  The release may be subject to conditions if appropriate.

          Whenever a minor is released under this section, the professional person in charge shall within three days, notify the court in writing of the release.

          (11) A minor who has been committed for fourteen days shall be released at the end of that period unless a petition for one hundred eighty-day commitment is pending before the court.

 

          NEW SECTION.  Sec. 9.     (1) At any time during the minor's period of fourteen-day commitment, the professional person in charge may petition the court for an order requiring the minor to undergo an additional one hundred eighty-day period of treatment.

          (2) The petition for one hundred eighty-day commitment shall contain the following:

          (a) The name and address of the petitioner or petitioners;

          (b) The name of the minor alleged to meet the criteria for one hundred eighty-day commitment;

          (c) A statement that the petitioner is the professional person in charge of the evaluation and treatment facility responsible for the treatment of the minor;

          (d) The date of the fourteen-day commitment order; and

          (e) A summary of the facts supporting the petition.

          (3) The petition shall be supported by accompanying affidavits signed by two examining physicians, one of whom shall be a child psychiatrist, or by one examining physician and one children's  mental health specialist.  The affidavits shall describe in detail the behavior of the detained minor which supports the petition and shall state whether a less restrictive alternative to inpatient treatment is in the best interests of the minor.

          (4) The petition for one hundred eighty-day commitment shall be filed with the clerk of the court at least three days before the expiration of the fourteen-day commitment period.  The petitioner or the petitioner's designee shall within twenty-four hours of filing serve a copy of the petition on the minor and notify the minor's attorney and the minor's parent.  A copy of the petition shall be provided to such persons at least twenty-four hours prior to the hearing.

          (5) At the time of filing, the court shall set a date within seven days for the hearing on the petition.  The court may continue the hearing upon the written request of the minor or the minor's attorney for not more than ten days.  The minor shall be afforded the same rights as in a fourteen-day commitment hearing.  Treatment of the minor shall continue pending the proceeding.

          (6) For one hundred eighty-day commitment, the court must find by clear and convincing evidence that the minor:

          (a) Is suffering from a mental disorder;

          (b) Presents a likelihood of serious harm or is gravely disabled; and

          (c) Is in need of further treatment.

          (7) If the court finds that the criteria for commitment are met and that less restrictive treatment in a community setting is not appropriate or available, the court shall order the minor committed to the custody of the secretary for further inpatient treatment.  If the court finds that a less restrictive alternative is in the best interest of the minor, the court shall order less restrictive alternative treatment upon such conditions as necessary.

          If the court determines that the minor does not meet the criteria for one hundred eighty-day commitment, the minor shall be released.

          (8) Successive one hundred eighty-day commitments are permissible on the same grounds and under the same procedures as the original one hundred eighty-day commitment.  Such petitions shall be filed at least five days prior to the expiration of the previous one hundred eighty-day commitment order.

 

          NEW SECTION.  Sec. 10.    (1) If a minor is committed for one hundred eighty-day inpatient treatment and is to be placed in a state-supported program, the secretary shall accept immediately and place the minor in a state-funded long-term evaluation and treatment facility.

          (2) The secretary's placement authority shall be exercised through a designated placement committee appointed by the secretary and comprised of children's mental health specialists, including at least one child psychiatrist who represents the state-funded, long-term, evaluation and treatment facility for minors.  The responsibility of the placement committee will be to:

          (a) Make the long-term placement of the minor in the most appropriate, available state-funded evaluation and treatment facility, having carefully considered factors including the treatment needs of the minor, the most appropriate facility able to respond to the minor's identified treatment needs, the geographic proximity of the facility to the minor's family, the immediate availability of bed space, and the probable impact of the placement on other residents of the facility;

          (b) Approve or deny requests from treatment facilities for transfer of a minor to another facility;

          (c) Receive and monitor reports required under this section;

          (d) Receive and monitor reports of all discharges.

          (3) The secretary may authorize transfer of minors among treatment facilities if the transfer is in the best interests of the minor or due to treatment priorities.

          (4) The responsible state-funded evaluation and treatment facility shall submit a report to the department's designated placement committee within ninety days of admission and no less than every one hundred eighty days thereafter, setting forth such facts as the department requires, including the minor's individual treatment plan and progress, recommendations for future treatment, and possible less restrictive treatment.

 

          NEW SECTION.  Sec. 11.    (1) If the professional person in charge of an outpatient treatment program, a county-designated mental health professional, or the secretary determines that a minor is failing to adhere to the conditions of the court order for less restrictive alternative treatment or the conditions for the conditional release, or that substantial deterioration in the minor's functioning has occurred, the county-designated mental health professional, or the secretary may order that the minor be taken into custody and transported to an inpatient evaluation and treatment facility.

          (2) The county-designated mental health professional or the secretary shall file the order of apprehension and detention and serve it upon the minor and notify the minor's parent and the minor's attorney, if any, of the detention within two days of return.  At the time of service the minor shall be informed of the right to a hearing and to representation by an attorney.  The county-designated mental health professional or the secretary may modify or rescind the order of apprehension and detention at any time prior to the hearing.

          (3) A petition for revocation of less restrictive alternative treatment shall be filed by the county-designated mental health professional or the secretary with the court in the county ordering the less restrictive alternative treatment.  The court shall conduct the hearing in that county.  A petition for revocation of conditional release may be filed with the court in the county ordering inpatient treatment or the county where the minor on conditional release is residing.  A petition shall describe the behavior of the minor indicating violation of the conditions or deterioration of routine functioning and a dispositional recommendation.  Upon motion for good cause, the hearing may be transferred to the county of the minor's residence or to the county in which the alleged violations occurred.  The hearing shall be held within seven days of the minor's return.  The issues to be determined are whether the minor did or did not adhere to the conditions of the less restrictive alternative treatment or conditional release, or whether the minor's routine functioning has substantially deteriorated, and, if so, whether the conditions of less restrictive alternative treatment or conditional release should be modified or whether the minor should be returned to inpatient treatment.  Pursuant to the determination of the court, the minor shall be returned to less restrictive alternative treatment or conditional release on the same or modified conditions or shall be returned to inpatient treatment.  If the minor is returned to inpatient treatment, section 10 of this act regarding the secretary's placement responsibility shall apply.  The hearing may be waived by the minor and the minor returned to inpatient treatment or to less restrictive alternative treatment or conditional release on the same or modified conditions.

 

          NEW SECTION.  Sec. 12.    (1) The professional person in charge of the inpatient treatment facility may authorize release for the minor under such conditions as appropriate.  Conditional release may be revoked pursuant to section 11 of this act if leave conditions are not met or the minor's functioning substantially deteriorates.

          (2) Minors may be discharged prior to expiration of the commitment period if the treating physician or professional person in charge concludes that the minor no longer meets commitment criteria.

 

          NEW SECTION.  Sec. 13.    (1) A minor receiving treatment under the provisions of this chapter and responsible others shall be liable for the costs of treatment, care, and transportation to the extent of available resources and ability to pay.

          (2) The secretary shall establish rules to implement this section and to define income, resources, and exemptions to determine the responsible person's or persons' ability to pay.

 

          NEW SECTION.  Sec. 14.    (1) The county or combination of counties is responsible for development and coordination of the evaluation and treatment program for minors, for incorporating the program into the county mental health plan, and for coordination of evaluation and treatment services and resources with the community mental health program required under chapter 71.24 RCW.

          (2) The county shall be responsible for maintaining its support of involuntary treatment services for minors at its 1984 level, adjusted for inflation, with the department responsible for additional costs to the county resulting from this chapter.

 

          NEW SECTION.  Sec. 15.    Necessary transportation for minors committed for one hundred eighty-day treatment shall be provided by the department in the most appropriate and cost-effective means.

 

          NEW SECTION.  Sec. 16.    Absent a risk to self or others, minors treated under this chapter have the following rights, which shall be prominently posted in the evaluation and treatment facility:

          (1) To wear their own clothes and to keep and use personal possessions;

          (2) To keep and be allowed to spend a reasonable sum of their own money for canteen expenses and small purchases;

          (3) To have individual storage space for private use;

          (4) To have visitors at reasonable times;

          (5) To have reasonable access to a telephone, both to make and receive confidential calls;

          (6) To have ready access to letter-writing materials, including stamps, and to send and receive uncensored correspondence through the mails;

          (7) To discuss treatment plans and decisions with mental health professionals;

          (8) To have the right to adequate care and individualized treatment.

 

          NEW SECTION.  Sec. 17.    (1) If a minor is not accepted for admission or is released by an inpatient evaluation and treatment facility, the facility shall release the minor to the custody of the minor's parent or other responsible person.  If not otherwise available, the facility shall furnish transportation for the minor to the minor's residence or other appropriate place.

          (2) If the minor is released to someone other than the minor's parent, the facility shall make every effort to notify the minor's parent of the release as soon as possible.

          (3) No indigent minor may be released to less restrictive alternative treatment or setting or discharged from inpatient treatment without suitable clothing, and the department shall furnish this clothing.  As funds are available, the secretary may provide necessary funds for the immediate welfare of indigent minors upon discharge or release to less restrictive alternative treatment.

 

          NEW SECTION.  Sec. 18.    The fact of admission and all information obtained through treatment under this chapter is confidential.  Confidential information may be disclosed only:

          (1) In communications between mental health professionals to meet the requirements of this chapter, in the provision of services to the minor, or in making appropriate referrals;

          (2) In the course of guardianship or dependency proceedings;

          (3) To persons with medical responsibility for the minor's care;

          (4) To the minor, the minor's parent, and the minor's attorney, subject to RCW 13.50.100;

          (5) When the minor or the minor's parent designate in writing the persons to whom information or records may be released;

          (6) To the extent necessary to make a claim for financial aid, insurance, or medical assistance to which the minor may be entitled or for the collection of fees or costs due to providers for services rendered under this chapter;

          (7) To the courts as necessary to the administration of this chapter;

          (8) To law enforcement officers or public health officers as necessary to carry out  the responsibilities of their office.  However, only the fact and date of admission, and the date of discharge, the name and address of the treatment provider, if any, and the last known address shall be disclosed upon request;

          (9) To law enforcement officers, public health officers, relatives, and other governmental law enforcement agencies, if a minor has escaped from custody, disappeared from an evaluation and treatment facility, violated conditions of a less restrictive treatment order, or failed to return from an authorized leave, and then only such information as may be necessary to provide for public safety or to assist in the apprehension of the minor.  The officers are obligated to keep the information confidential in accordance with this chapter;

          (10) To the secretary for assistance in data collection and program evaluation or research, provided that the secretary adopts rules for the conduct of such evaluation and research.  The rules shall include, but need not be limited to, the requirement that all evaluators and researchers sign an oath of confidentiality substantially as follows:

          "As a condition of conducting evaluation or research concerning persons who have received services from (fill in the facility, agency, or person) I, .......... , agree not to divulge, publish, or otherwise make known to unauthorized persons or the public any information obtained in the course of such evaluation or research regarding minors who have received services in a manner such that the minor is identifiable.

          I recognize that unauthorized release of confidential information may subject me to civil liability under state law.

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          (11) To persons who are identified by the minor as being in possible danger of serious harm at the hands of that minor.  The disclosure shall be limited to making the threatened person aware of the facts and circumstances that lead the professional person to assume there is a potential danger;

          (12) To a minor's next of kin, attorney, guardian, or conservator, if any, the information that the minor is presently in the facility or that the minor is seriously physically ill and a statement evaluating the mental and physical condition of the minor as well as a statement of the probable duration of the minor's confinement;

          (13) Upon the death of a minor, to the minor's next of kin;

          (14) To a facility in which the minor resides or will reside.

          This section shall not be construed to prohibit the compilation and publication of statistical data for use by government or researchers under standards, including standards to assure maintenance of confidentiality, set forth by the secretary.  The fact of admission and all information obtained pursuant to this chapter are not admissible as evidence in any legal proceeding outside this chapter, except guardianship, dependency, or custody proceedings, without the written consent of the minor or the minor's parent.

 

          NEW SECTION.  Sec. 19.    When in the judgment of the department the welfare of any person committed to or confined in any state juvenile correctional institution or facility necessitates that the person be transferred or moved for observation, diagnosis, or treatment to an evaluation and treatment facility, the secretary or the secretary's designee is authorized to order and effect such move or transfer for a period of up to thirty days, provided that the secretary notifies the original committing court of the transfer.  No  person committed to or confined in any state juvenile correctional institution or facility may be transferred to an evaluation and treatment facility for more than thirty days unless that person has been committed for one hundred eighty-day treatment under this chapter or under chapter 71.05 RCW if eighteen years of age or older.  Underlying jurisdiction of minors transferred or committed under this section remains with the state correctional institution.  Minors committed under this section and no longer meeting the criteria for one hundred eighty-day commitment shall be returned to the state correctional institution to serve the remaining time of the underlying dispositional order or sentence.  The time spent by the minor at the evaluation and treatment facility shall be credited towards the minor's juvenile court sentence.

 

          NEW SECTION.  Sec. 20.    No minor received as a voluntary patient or committed under this chapter may be detained after his or her eighteenth birthday unless the person, upon reaching eighteen years of age, has applied for admission to an appropriate evaluation and treatment facility or unless involuntary commitment proceedings under chapter 71.05 RCW have been initiated:  PROVIDED, That a minor may be detained after his or her eighteenth birthday for purposes of completing the fourteen-day diagnosis, evaluation, and treatment.

 

          NEW SECTION.  Sec. 21.    The records and files maintained in any court proceeding under this chapter are confidential and available only to the minor, the minor's parent, and the minor's attorney.  In addition, the court may order the subsequent release or use of these records or files only upon good cause shown if the court finds that appropriate safeguards for strict confidentiality will be maintained.

 

          NEW SECTION.  Sec. 22.    When disclosure of information or records is made, the date and circumstances under which the disclosure was made, the name or names of the persons or agencies to whom such disclosure was made and their relationship if any, to the minor, and the information disclosed shall be entered promptly in the minor's clinical record.

 

          NEW SECTION.  Sec. 23.    Attorneys appointed for minors under this chapter shall be compensated for their services as follows:

          (1) Responsible others shall bear the costs of such legal services if financially able according to standards set by the court of the county in which the proceeding is held.

          (2) If all responsible others are indigent as determined by these standards, the costs of these legal services shall be borne by the county in which the proceeding is held.

 

          NEW SECTION.  Sec. 24.    Court procedures and proceedings provided for in this chapter shall be in accordance with rules adopted by the supreme court of the state of Washington.

 

          NEW SECTION.  Sec. 25.    The department shall adopt such rules pursuant to chapter 34.04 RCW as may be necessary to effectuate the intent and purposes of this chapter, which shall include but not be limited to evaluation of the quality, effectiveness, efficiency, and use of services and facilities operating under this chapter, procedures and standards for commitment, and other action relevant to evaluation and treatment facilities, and establishment of criteria and procedures for placement and transfer of committed minors.

 

          NEW SECTION.  Sec. 26.    (1) The superior court has jurisdiction over proceedings under this chapter.

          (2) A record of all petitions and proceedings under this chapter shall be maintained by the clerk of the superior court in the county in which the petition or proceedings was initiated.

          (3) Petitions for commitment shall be filed and venue for hearings under this chapter shall be in the county in which the minor is being detained.  The court may, for good cause, transfer the proceeding to the county of the minor's residence, or to the county in which the alleged conduct evidencing need for commitment occurred.  If the county of detention is changed, subsequent petitions may be filed in the county in which the minor is detained without the necessity of a change of venue.

 

          NEW SECTION.  Sec. 27.    No public or private agency or governmental entity, nor officer of a public or private agency, nor the superintendent, or professional person in charge, his or her professional designee or attending staff of any such agency, nor any public official performing functions necessary to the administration of this chapter, nor peace officer responsible for detaining a person under this chapter, nor any county designated mental health professional, shall be civilly or criminally liable for performing his or her duties under this chapter with regard to the decision of whether to admit, release, or detain a person for evaluation and treatment:  PROVIDED, That such duties were performed in good faith and without gross negligence.

 

        Sec. 28.  Section 8, chapter 142, Laws of 1973 1st ex. sess. as last amended by section 179, chapter 3, Laws of 1983 and RCW 71.05.030 are each amended to read as follows:

          Persons suffering from a mental disorder may not be involuntarily committed for treatment of such disorder except pursuant to provisions of this chapter, chapter 10.77 RCW or its successor, chapter 71.06 RCW, chapter 71.-- RCW (sections 1 through 27 of this 1985 act), transfer pursuant to RCW 72.68.031 through 72.68.037, or pursuant to court ordered evaluation and treatment not to exceed ninety days pending a criminal trial or sentencing.

 

        Sec. 29.  Section 71.06.010, chapter 25, Laws of 1959 as last amended by section 42, chapter 80, Laws of 1977 ex. sess. and RCW 71.06.010 are each amended to read as follows:

          As used in this chapter, the following terms shall have the following meanings:

          "Psychopathic personality" means the existence in any person of such hereditary, congenital or acquired condition affecting the emotional or volitional rather than the intellectual field and manifested by anomalies of such character as to render satisfactory social adjustment of such person difficult or impossible.

          "Sexual psychopath" means any person who is affected in a form of psychoneurosis or in a form of psychopathic personality, which form predisposes such person to the commission of sexual offenses in a degree constituting him a menace to the health or safety of others.

          "Sex offense" means one or more of the following:  Abduction, incest, rape, assault with intent to commit rape, indecent assault, contributing to the delinquency of a minor involving sexual misconduct, sodomy, indecent exposure, indecent liberties with children, carnal knowledge of children, soliciting or enticing or otherwise communicating with a child for immoral purposes, vagrancy involving immoral or sexual misconduct, or an attempt to commit any of the said offenses.

          (("Psychopathic delinquent" means any minor who is psychopathic, and who is a habitual delinquent, if his delinquency is such as to constitute him a menace to the health, person, or property of himself or others, and the minor is not a proper subject for commitment to a state correctional school, a penal institution, to a state school for the developmentally disabled, or to a state hospital as a mentally ill person.))

          "Minor" means any person under eighteen years of age.

          "Department" means department of social and health services.

          "Court" means the superior court of the state of Washington.

          "Superintendent" means the superintendent of a state institution designated for the custody, care and treatment of sexual psychopaths or psychopathic delinquents.

 

        Sec. 30.  Section 71.06.260, chapter 25, Laws of 1959 as amended by section 132, chapter 141, Laws of 1979 and RCW 71.06.260 are each amended to read as follows:

          At any time any person is committed as a sexual psychopath ((or psychopathic delinquent)) the court shall, after reasonable notice of the time, place and purpose of the hearing has been given to persons subject to liability under this section, inquire into and determine the financial ability of said person, or his parents if he is a minor, or other relatives to pay the cost of care, meals and lodging during his period of hospitalization.  Such cost shall be determined by the department of social and health services.  Findings of fact shall be made relative to the ability to pay such cost and a judgment entered against the person or persons found to be financially responsible and directing the payment of said cost or such part thereof as the court may direct.  The person committed, or his parents or relatives, may apply for modification of said judgment, or the order last entered by the court, if a proper showing of equitable grounds is made therefor.

 

          NEW SECTION.  Sec. 31.  The following acts or parts of acts are each repealed:

                   (1) Section 71.06.150, chapter 25, Laws of 1959 and RCW 71.06.150;

          (2) Section 71.06.160, chapter 25, Laws of 1959 and RCW 71.06.160;

          (3) Section 71.06.170, chapter 25, Laws of 1959 and RCW 71.06.170;

          (4) Section 71.06.180, chapter 25, Laws of 1959 and RCW 71.06.180;

          (5) Section 71.06.190, chapter 25, Laws of 1959 and RCW 71.06.190;

          (6) Section 71.06.200, chapter 25, Laws of 1959 and RCW 71.06.200;

          (7) Section 71.06.210, chapter 25, Laws of 1959 and RCW 71.06.210;

          (8) Section 71.06.220, chapter 25, Laws of 1959 and RCW 71.06.220;

          (9) Section 71.06.230, chapter 25, Laws of 1959 and RCW 71.06.230;

          (10) Section 71.06.240, chapter 25, Laws of 1959 and RCW 71.06.240;

          (11) Section 71.06.250, chapter 25, Laws of 1959 and RCW 71.06.250; and

          (12) Section 72.23.070, chapter 28, Laws of 1959, section 50, chapter 292, Laws of 1971 ex. sess., section 4, chapter 142, Laws of 1973 1st ex. sess., section 1, chapter 24, Laws of 1973 2nd ex. sess., section 3, chapter 145, Laws of 1974 ex. sess., section 11, chapter 199, Laws of 1975 1st ex. sess., section 48, chapter 80, Laws of 1977 ex. sess. and RCW 72.23.070.

 

          NEW SECTION.  Sec. 32.    The department shall prepare a report on standards and regulations proposed to implement chapter 71.... RCW (sections 1 through 27 of this act), on facilities and services available for minors committed under this chapter, and on additional resources required to address the needs of children committed under this chapter.  This report shall be presented to the legislature in January 1986.

 

          NEW SECTION.  Sec. 33.    Sections 1 through 27 of this act shall constitute a new chapter in Title 71 RCW.

 

          NEW SECTION.  Sec. 34.    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.

 

          NEW SECTION.  Sec. 35.    This act is necessary for the immediate preservation of the public peace, health, and safety, the support of the state government and its existing public institutions, and shall take effect July 1, 1986.