1. Minimum Standards for Health Professions’ Mandated Suicide Training Stakeholder Briefing December 17, 2015

2. Welcome Introduction and purpose of today’s session Overview of agenda Guidelines for participants Rulemaking process -- DOH History of legislation – DOH Presentation of draft rules

3. Objective for this Session Present draft rules and ensure any major objections are addressed.

4. Guidelines for Participants This is a public meeting and everyone is welcome Since this is a public meeting anything shared has the potential to be part of public record. This session will be recorded. This meeting is for briefing purposes only. Lines will remain muted and input will be solicited by email. If you have any unresolved major objections to the content, please send your comment by email to SuicidePreventionCE@doh.wa.gov. SuicidePreventionCE@doh.wa.gov

6. Rulemaking Process Background: Rule making is the process the Department of Health (department), including all health profession boards and commissions, uses when it proposes to create, change, or delete rules in order to protect public health. The department must follow the procedural requirements set out in the Administrative Procedure Act, chapter 34.05 RCW and the Regulatory Fairness Act, chapter 19.85 RCW when conducting rule making.Administrative Procedure Act, chapter 34.05 RCWRegulatory Fairness Act, chapter 19.85 RCW Stakeholders interested in the department’s rule-making activities should join appropriate ListServs. Individual ListServs can be found by using the Topics A to Z list or by contacting program staff.Topics A to Z list

7. Proposed Timeline JulyJuneMay April MarchFebruaryJanuary DecemberNovemberOctober October 19 Stakeholder Meeting Public Hearing Rule Effective 20152016 November 23 Stakeholder Meeting Briefing 12/17

9. History of Legislation Bill and yearAffected lawImpact ESHB 2366 (2012) RCW 43.70.442 Requires training on suicide assessment, treatment and management every six years for several behavioral health professions. Requires development of a model list of training programs. Requires a study on how suicide assessment, treatment and management training affects healthcare for suicidal patients. SHB 1376 (2013) RCW 43.70.442, amended Extends timeline for the training. Allows disciplinary authorities to approve three hour training – screening and referral

10. History of Legislation Bill and yearAffected lawImpact ESHB 2315 (2014)RCW 43.70.442, amended Requires additional health care professionals to take the training including physicians, nurses, chiropractors, naturopaths. Requires updates to model list of approved trainings every two years. Requires DOH to develop statewide plan. ESHB 1424 (2015)RCW 43.70.442, amended Requires DOH to adopt rules establishing minimum standards for training. Beginning January 1, 2017 trainings must meet minimum standards to be on list. Beginning July 1, 2017 providers must take training from model list.

11. Purpose of rules Ensure that listed trainings meet standards for quality and content Improve health professionals’ ability to care for patients at risk of suicide

13. Who must get training? Six hours at least once every six years: Marriage and family therapists Mental health counselors Psychologists Advanced social workers or independent clinical social workers Social worker associates—advanced or social worker associates—independent clinical

14. Who must get training? Three hours every six years: Advisers or counselors Chemical dependency professionals Occupational therapy practitioners

15. Who must get training? Six hours one time: Naturopaths Licensed practical nurses, registered nurses, or advanced registered nurse practitioners (certified registered nurse anesthetists are exempt) Osteopathic physicians and surgeons, other than a holder of a postgraduate osteopathic medicine and surgery license Osteopathic physician assistants Physicians, other than a resident holding a limited license Physician assistants Person holding a retired active license for one of these professions

16. Who must get training? Three hours one time: Chiropractors Physical therapists or physical therapist assistants

17. Content standards in ESHB 1424 For six-hour trainings: Training on suicide assessment, treatment and management Must include content on imminent harm via lethal means or self-injurious behaviors Must include content on veterans. For three-hour trainings: Training on suicide screening and referral

19. Next steps We will follow up on any major objections submitted by email then move forward with the CR-102. Rules hearing planned to be held in April. Rules effective after June 30 th.

20. CONTACT INFORMATION Karyn Brownson, Project Manager SuicidePreventionCE@doh.wa.gov 360-236-2803 Sign up for the appropriate ListServ: Topics A to Z list Topics A to Z list