Wash. Admin. Code § 388-101D-0405

Current through Register Vol. 25-01, January 1, 2025

Section 388-101D-0405 - When is a functional assessment required?

(1) The provider must complete a functional assessment of a client's behavior if:

(a) The exceptional behavior support needs section of the client's person-centered service plan indicates extensive support is necessary to prevent:

(i) Self-injury;

(ii) Sexual aggression;

(iii) Suicide attempt;

(iv) Emotional outburst;

(v) Property destruction;

(vi) Assault or injury to others; or

(vii) A behavior identified in the client's person-centered service plan under "prevention of other serious behavior problem(s)-specify";

(b) The client is prescribed a psychotropic medication on a pro re nata (PRN or as needed) basis to change a target behavior; or

(c) The provider uses-or plans to use-restrictive procedures or physical restraints as defined in WAC 388-1013000.

(2) Target behavior means a behavior identified by the provider that needs to be modified or replaced to meet the client's health and safety needs.

(3) The client's functional assessment must:

(a) Be based on two or more of the following:

(i) Direct observation;

(ii) Interview with anyone who has personal knowledge of the client;

(iii) Questionnaire; or

(iv) Record review;

(b) Describe:

(i) Client history and antecedents pertinent to the target behavior;

(ii) The client's current status;

(iii) The target behavior; and

(iv) The apparent function of the target behavior; and

(c) Exist:

(i) In draft form before the effective date of the client being added to the provider's contract; and

(ii) In final form no later than forty-five calendar days after the effective date of the client being added to the provider's contract.

(4) A draft functional assessment must define the target behavior and its apparent function.

(5) The provider may revise a functional assessment written by another provider. The provider must identify the adapted functional assessment as its own.

(6) If the provider identifies a new target behavior for a client, the provider must complete a functional assessment for that behavior within forty-five days.

(7) The provider may use a community protection participant's risk assessment in place of a functional assessment if it was completed in the past eighteen months and describes:

(a) The client's history pertinent to the target behavior;

(b) The client's current status;

(c) The target behavior; and

(d) The apparent function of the target behavior.

(8) A functional assessment is required for any target behavior not included in the client's community protection program risk assessment.

Wash. Admin. Code § 388-101D-0405

WSR 16-14-058, recodified as § 388-101D-0405, filed 6/30/16, effective 8/1/16.

Amended by WSR 21-12-061, Filed 5/27/2021, effective 6/27/2021

Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, §388-101-3850, filed 12/21/07, effective 2/1/08.