The enhanced services facility will only admit residents who:

1. (1) Are at least eighteen years old; and

2. (2) Require:

   1. (a) Daily care by or under the supervision of a mental health professional, chemical dependency professional, or nurse; or
   2. (b) Assistance with three or more activities of daily living; and

3. (3) Have any of the following:

   1. (a) A mental disorder, chemical dependency disorder, or both;
   2. (b) An organic or traumatic brain injury; or
   3. (c) A cognitive impairment that results in symptoms or behaviors requiring supervision and facility services.
4. (4) Will benefit from the staffing levels and professional supports provided in this setting.
5. (5) If at a state hospital, has been deemed stable and ready for discharge.

6. (6) Does not meet the requirement for active treatment at a state hospital, but has not found appropriate placement in other community settings due to a history of two or more of the following:

   1. (a) Self-endangering behaviors that are frequent or difficult to manage;
   2. (b) Aggressive, threatening, or assaultive behaviors that create a risk to the health or safety of other residents or staff, or a significant risk to property and these behaviors are frequent or difficult to manage;
   3. (c) Intrusive behaviors that put residents or staff at risk;
   4. (d) Complex medication needs which include psychotropic medications;
   5. (e) A history of or likelihood of unsuccessful placements in either a licensed facility or other state facility or a history of rejected applications for admission to other licensed facilities based on the resident's behaviors, history, or security needs;
   6. (f) A history of frequent or protracted mental health hospitalizations; and/or
   7. (g) A history of offenses against a person or felony offenses that created substantial damage to property.

[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0030, filed 9/12/14, effective 10/13/14.]