2018/02/07 Council Agenda Packet

(iv)The response to medical and psychiatric emergencies. (v)Verifying the identity of an individual receiving treatment services, including maintaining a file in the dispensary with a photograph of the individual and updating the photographs when the individual's physical appearance changes significantly. (5) An agency must ensure that an individual is not admitted to opiate substitution treatment detoxification services more than two times in a twelve-month period following admission to services. (6)An agency providing services to a pregnant woman must have a written procedure to address specific issues regarding their pregnancy and prenatal care needs, and to provide referral information to applicable resources. (7)An agency providing youth opiate substitution treatment services must: (a) Have a written procedure to assess and refer the youth to the department's child welfare services, when applicable. (b) Ensure that a group counseling session with nine to twelve youths include a second staff member. (c) Ensure that before admission the youth has had two documented attempts at short-term detoxification or drug-free treatment within a twelve-month period, with a waiting period of no less than seven days between the first and second short-term detoxification treatment. (d) Ensure that when a youth is admitted for maintenance treatment,written consent by a parent or if applicable, legal guardian or responsible adult designated by the relevant state authority, is obtained. (8)An agency providing opiate substitution treatment services must ensure: (a)That notification to the federal Substance Abuse and Mental Health Services Administration (SAMHSA)and the department is made within three weeks of any replacement or other change in the status of the program, program sponsor(as defined in 42 C.F.R. Part 8),or medical director. (b)Treatment is provided to an individual in compliance with 42 C.F.R. Part 8. (c)The number of individuals receiving treatment services does not exceed three hundred fifty unless authorized by the county, city,or tribal authority in which the program is located. (d)The individual record system complies with all federal and state reporting requirements relevant to opioid drugs approved for use in treatment of opioid addiction. (e)The death of an individual enrolled in opiate substitution treatment is reported to the department within one business day. [Statutory Authority: RCW 70.02.290,70.02.340,70.96A.040(4),71.05.560,71.24.035(5)(c),71.34.380, and 2014 c 225.WSR 16-13-087, §388-877B-0400,filed 6/15/16,effective 7/16/16.Statutory Authority: Chapters 70.02, 70.96A, 71.05, 71.24, 71.34, 74.50 RCW, RCW 74.08.090,43.20A.890, and 42 C.F.R. Part 8. WSR 13-12-053,§ 388-877B-0400,filed 5/31/13,effective 7/1/13.] 4