(1) Not
later than January 1, 2007, all persons providing treatment under
this chapter shall also implement the integrated comprehensive
screening and assessment process for chemical dependency and
mental disorders adopted pursuant to RCW 70.96C.010 and shall
document the numbers of clients with co-occurring mental and
substance abuse disorders based on a quadrant system of low and
high needs.
(2) Treatment providers and regional support networks who
fail to implement the integrated comprehensive screening and
assessment process for chemical dependency and mental disorders
by July 1, 2007, shall be subject to contractual penalties
established under RCW 70.96C.010.
[2005 c 504 § 103.]
NOTES:
Findings--Intent -- 2005 c 504: "The legislature finds that
persons with mental disorders, chemical dependency disorders, or
co-occurring mental and substance abuse disorders are
disproportionately more likely to be confined in a correctional
institution, become homeless, become involved with child
protective services or involved in a dependency proceeding, or
lose those state and federal benefits to which they may be
entitled as a result of their disorders. The legislature finds
that prior state policy of addressing mental health and chemical
dependency in isolation from each other has not been
cost-effective and has often resulted in longer-term, more costly
treatment that may be less effective over time. The legislature
finds that a substantial number of persons have co-occurring
mental and substance abuse disorders and that identification and
integrated treatment of co-occurring disorders is critical to
successful outcomes and recovery. Consequently, the legislature
intends, to the extent of available funding, to:
(1) Establish a process for determining which persons with
mental disorders and substance abuse disorders have co-occurring
disorders;
(2) Reduce the gap between available chemical dependency
treatment and the documented need for treatment;
(3) Improve treatment outcomes by shifting treatment, where
possible, to evidence-based, research-based, and consensus-based
treatment practices and by removing barriers to the use of those
practices;
(4) Expand the authority for and use of therapeutic courts
including drug courts, mental health courts, and therapeutic
courts for dependency proceedings;
(5) Improve access to treatment for persons who are not
enrolled in medicaid by improving and creating consistency in the
application processes, and by minimizing the numbers of eligible
confined persons who leave confinement without medical
assistance;
(6) Improve access to inpatient treatment by creating
expanded services facilities for persons needing intensive
treatment in a secure setting who do not need inpatient care, but
are unable to access treatment under current licensing
restrictions in other settings;
(7) Establish secure detoxification centers for persons
involuntarily detained as gravely disabled or presenting a
likelihood of serious harm due to chemical dependency and
authorize combined crisis responders for both mental disorders
and chemical dependency disorders on a pilot basis and study the
outcomes;
(8) Slow or stop the loss of inpatient and intensive
residential beds and children's long-term inpatient placements
and refine the balance of state hospital and community inpatient
and residential beds;
(9) Improve cross-system collaboration including
collaboration with first responders and hospital emergency rooms,
schools, primary care, developmental disabilities, law
enforcement and corrections, and federally funded and licensed
programs;
(10) Following the receipt of outcomes from the pilot
programs in Part II of this act, if directed by future
legislative enactment, implement a single, comprehensive,
involuntary treatment act with a unified set of standards,
rights, obligations, and procedures for adults and children with
mental disorders, chemical dependency disorders, and co-occurring
disorders; and
(11) Amend existing state law to address organizational and
structural barriers to effective use of state funds for treating
persons with mental and substance abuse disorders, minimize
internal inconsistencies, clarify policy and requirements, and
maximize the opportunity for effective and cost-effective
outcomes." [2005 c 504 § 101.]
Severability -- 2005 c 504: "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." [2005 c 504 § 807.]
Application -- Construction--2005 c 504: "This act shall be so applied and construed as to effectuate its general purpose to make uniform the law with respect to the subject of this act among those states which enact it." [2005 c 504 § 808.]
Captions, part headings, subheadings not law -- 2005 c 504: "Captions, part headings, and subheadings used in this act are not part of the law." [2005 c 504 § 809.]
Adoption of rules--2005 c 504: "(1) The secretary of the
department of social and health services may adopt rules as
necessary to implement the provisions of this act.
(2) The secretary of corrections may adopt rules as
necessary to implement the provisions of this act." [2005 c 504
§ 812.]
Effective dates -- 2005 c 504: "(1) Except for section 503 of
this act, this act is necessary for the immediate preservation of
the public peace, health, or safety, or support of the state
government and its existing public institutions, and takes effect
July 1, 2005.
(2) Section 503 of this act takes effect July 1, 2006."
[2005 c 504 § 813.]
Alphabetization--Correction of references--2005 c 504: See note following RCW 71.05.020.