1. (1) Substance use disorder withdrawal management services are provided to assist in the process of withdrawal from psychoactive substances in a safe and effective manner that includes medical management or medical monitoring. Substance use disorder withdrawal management services under this certification include:

   1. (a) Adult withdrawal management; and
   2. (b) Youth withdrawal management.

2. (2) An agency certified for withdrawal management services must:

   1. (a) Ensure the individual receives a substance use disorder screening before admission;

   2. (b) Provide counseling to each individual that addresses the individual's:

      1. (i) Substance use disorder and motivation; and
      2. (ii) Continuing care needs and need for referral to other services.
   3. (c) Maintain a list of resources and referral options that can be used by staff members to refer an individual to appropriate services; and
   4. (d) Post any rules and responsibilities for individuals receiving treatment, including information on potential use of increased motivation interventions or sanctions, in a public place in the facility.

3. (3) Ensure that each staff member providing withdrawal management services to an individual, with the exception of substance use disorder professionals, substance use disorder professional trainees, physicians, physician assistants, advanced registered nurse practitioners, or person with a co-occurring disorder specialist enhancement, completes a minimum of 40 hours of documented training before being assigned individual care duties. This personnel training must include the following topics:

   1. (a) Substance use disorders;
   2. (b) Infectious diseases, to include hepatitis and tuberculosis (TB); and
   3. (c) Withdrawal screening, admission, and signs of trauma.
4. (4) An agency certified for withdrawal management services must meet the certification standards for residential and inpatient behavioral health services in WAC 246-341-1105 and the individual service requirements for inpatient and residential substance use disorder services in WAC 246-341-1108.

[Statutory Authority: RCW 71.24.037 and 2023 1st sp. s. c 1. WSR 25-03-021, s 246-341-1100, filed 1/7/25, effective 1/31/25. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160, 43.70.080(5), 41.05.750, 43.70.250, 74.09.520, and chapters 71.05, 71.12, 71.24, and 71.34 RCW. WSR 22-24-091, § 246-341-1100, filed 12/6/22, effective 5/1/23. Statutory Authority: RCW 71.24.037, 71.05.560, 71.34.380, 18.205.160, 71.24.037 and chapters 71.05, 71.24, and 71.34 RCW. WSR 21-12-042, § 246-341-1100, filed 5/25/21, effective 7/1/21. Statutory Authority: 2018 c 201 and 2018 c 291. WSR 19-09-062, § 246-341-1100, filed 4/16/19, effective 5/17/19.]