Effective Date of Rule: Thirty-one days after filing.

     Purpose: This rule would expand the options for intake evaluation to allow for an abbreviated process for intake evaluation when the individual is expected to need short-term mental health services, or had full evaluation previously and is resuming services.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-865-0420.

     Statutory Authority for Adoption: RCW 71.24.035.

      Adopted under notice filed as WSR 06-22-089 on November 1, 2006.

     Changes Other than Editing from Proposed to Adopted Version: (1) Each consumer requesting services must receive an intake evaluation. The intake evaluation or brief intake evaluation must be provided by a Mental Health Professional and:

     (4)(h) Identification of mutually agreed upon outcomes that are expected to be accomplished within the six-month period that will be the basis of the treatment plan. This treatment plan will be used in place of the treatment plan required in WAC 388-865-0425.

     (5) In cases where a consumer initially receives services based on a brief intake evaluation, the community support service provider must complete the additional elements required in a full intake evaluation if the consumer is expected to continue to receive services after six months. In these cases a treatment plan must be developed that meets all the requirements of WAC 388-865-0425.

     A final cost-benefit analysis is available by contacting Melena Thompson, P.O. Box 45320, Olympia, WA 98504-5320, phone (360) 902-0840, fax (360) 902-0809, e-mail thompml@dshs.wa.gov.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 1, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 1, Repealed 0.

     Date Adopted: March 2, 2007.

Robin Arnold-Williams

Secretary

     (9) Review of the intake evaluation by a mental health professional)) (1) The intake evaluation or brief intake evaluation must be provided by a Mental Health Professional and:

     (a) Be initiated prior to the provision of any non-crisis mental health services;

     (b) Be initiated within ten working days of the request for services;

     (c) Be developed in collaboration with the consumer;

     (d) Be inclusive of input of people who provide active support to the consumer, if the consumer requests or if the consumer is under age thirteen;

     (e) Be completed within thirty working days of the initiation of the intake evaluation; and

     (f) Include a consent for treatment or a copy of detention or involuntary treatment order.

     (2) Except as when a brief intake evaluation as described in WAC 388-865-0420(4) is provided, a full intake evaluation must include:

     (a) A description of the presenting problem, presented needs;

     (b) A description of the consumer's and family's strengths;

     (c) Consumer's needs and desired outcomes in the consumer's own words;

     (d) Consumer's culture/cultural history (including, but not limited to, ethnicity or race, and religion);

     (e) History of other disorders, substance/alcohol abuse, developmental disability, any other relevant disability, and treatment, if any;

     (f) Medical history, hospitalizations, treatment, past and current medications;

     (g) Mental health services history, past and current medication;

     (h) Assessment of suicide/homicide and self harm risk. A referral for provision of emergency/crisis services, consistent with WAC 388-865-0452, must be made if indicated in the risk assessment;

     (i) Sufficient information to justify the provisional diagnosis;

     (j) Documentation showing the consumer has been asked if they are under the supervision of the department of corrections or juvenile court;

     (k) If the consumer is a child:

     (i) Developmental history;

     (ii) Parental goals and desired outcomes (if consent is obtained or not required due to age or state custody); and

     (iii) Family and/or placement issues, including, if appropriate, family dynamics, placement disruptions, and current placement needs.

     (3) If seeking any of the information required in subsection (2) of this section presents a barrier to the provision of services for the consumer, any portion of the intake may be left incomplete providing the reason for the omission is clearly documented in the clinical record.

     (4) A brief intake evaluation may be used when it is reasonably believed services to the consumer will be completed within a six-month period. A brief intake evaluation may also be substituted for a full intake evaluation if a consumer is resuming services after being out of services for a period of less than twelve months and had received a full intake evaluation as part of the previous service provision. A brief intake evaluation must include:

     (a) A description of presenting problem, presented needs, desired outcomes, and consumer strengths identified by both the consumer and the clinician;

     (b) Sufficient information to justify the provisional diagnosis;

     (c) The consumer's current physician and prescribed medications;

     (d) Current and historical substance use/abuse or other co-occurring disorders including developmental disabilities;

     (e) Mental health services history including past and current medications;

     (f) Assessment of suicide/homicide and self-harm risk. A referral for provision of emergency/crisis services, consistent with WAC 388-865-0452, must be made if indicated in the risk assessment;

     (g) Documentation that the consumer has been asked if they are under the supervision by the department of corrections or juvenile court; and

     (h) Identification of mutually agreed upon outcomes that are expected to be accomplished within the six-month period that will be the treatment plan. This treatment plan will be used in place of the treatment plan required in WAC 388-865-0425.

     (5) In cases where a consumer initially receives services based on a brief intake evaluation, the community support service provider must complete the additional elements required in a full intake evaluation if the consumer is expected to continue to receive services after six months. In these cases a treatment plan must be developed that meets all the requirements of WAC 388-865-0425.

     (6) If seeking any of the information required in subsection (4) of this section presents a barrier to the provision of services for the consumer, any portion of the intake may be left incomplete providing the reason for the omission is clearly documented in the clinical record.

[Statutory Authority: RCW 71.05.445 and 71.05.390 as amended by 2004 c 166. 05-14-082, § 388-865-0420, filed 6/30/05, effective 7/31/05. Statutory Authority: RCW 71.05.560, 71.24.035 (5)(c), 71.34.800, 9.41.047, 43.20B.020, and 43.20B.335. 01-12-047, § 388-865-0420, filed 5/31/01, effective 7/1/01.]

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