Parent-Initiated Treatment Stakeholder Advisory Group (PIT)

The Parent-Initiated Treatment Stakeholder Advisory Group (PIT) was formed by the Department of Social and Health Services (see Section 9 of House Bill 2779) to review the parent-initiated treatment process and to provide important recommendations about how this process is implemented.

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Overview

The parent-initiated treatment process (authorized by chapter 71.34 RCW.25) addresses parental participation in their children’s mental health treatment decisions along with parental control of minor children during treatment.

Mental health care providers are required to protect the rights of minors while also assuring that minors’ parents are given the opportunity to participate in treatment decisions for their children.

What will the advisory group do?

This advisory group will develop compassionate and informed recommendations on five topics:

  • Age of consent
    Providing specific recommendations around the age of consent for the behavioral health treatment of a minor.
  • Parental involvement in youth treatment decisions
    Identifying options for parents to be included in decision making around their child’s treatment decisions.

View the age of consent and parent involvement advisory group recommendations

  • Information communicated to families and providers
    Understanding information that must be communicated to both families and providers about the parent-initiated treatment process.
  • The definition of medical necessity for emergency mental health services
    Making recommendations to define medical necessity for emergency mental health services, while also identifying options available for parental involvement in those determinations.

View the admission practices advisory group recommendations

  • Services for commercially sexually exploited children
    Reviewing the effectiveness of parent-initiated treatment, involuntary treatment, or other treatment services specifically for their ability to meet the needs of commercially sexually exploited children.

View the advisory group recommendations for services for commercially sexually exploited children

By December 1, 2018, the Health Care Authority must report the findings and recommendations of the advisory group to the children's mental health work group.

Meetings and materials

To learn more about the advisory groups' activities and to follow this important conversation, review notes from previous group meetings below.

View a summary of the 2018 Parent Initiated Treatment Advisory Work Group survey results.

Stakeholder advisory group meetings

In the table below, you will find materials from previous monthly stakeholder meetings.

Date and time

Location

Material

October 15, 2018
1 to 5 p.m
Blake Office Park East
Hood room
Lacey

Agenda (2018-10-15)

Notes (2018-10-15)

September 11, 2018
1 to 5 p.m.

Blake Office Park East
Rose room
Lacey

Agenda (2018-09-11)

Notes (2018-09-11)

August 24, 2018
10 a.m. to 12 p.m.

Blake Office Park East
Hood room
Lacey

Agenda (2018-08-24)

Notes (2018-08-24)

Working document:
Ideas under consideration
From the age of consent topic workgroup

Working document:
Minor and parent consent and access to outpatient treatment overview

August 15, 2018 Webinar
for parents and caregivers

Webinar notes

August 10, 2018
1 to 4 p.m.

Blake Office Park West
Rose room
Lacey

Agenda (2018-08-10)

Notes (2018-08-10)

July 16, 2018
1 to 3 p.m.

Blake Office Park West
Washington room
Lacey

Agenda (2018-07-16)

Notes (2018-07-16)

June 11, 2018
1 to 3:30 p.m.

Blake Office Park West
Washington room
Lacey

Agenda (2018-06-11)

Notes (2018-06-11)

May 21, 2018
1 to 4 p.m.

Blake Office Park West
Roosevelt room
Lacey

Agenda (2018-05-21)

Notes (2018-05-21)

Presentation:
Legal History: Age of Majority, Age of Consent, and Parent-Initiated Treatment
by Kevin Black
Senate Human Services and Corrections Committee

Presentation:
Parent-Initiated Treatment from an Inpatient Psychiatric Hospital Perspective
by Kathy Brewer, MS, LMHC
Psychiatry and Behavioral Medicine at Seattle Children’s Hospital

April 24, 2018
9 to 11 a.m.

Blake Office Park East
Hood room
Lacey

Agenda (2018-04-24)

Notes (2018-04-24)

Topic workgroup meetings

Topic workgroup meetings are breakout meetings from the stakeholder advisory group. These groups are working to develop recommendations in specific areas.

Date and time

Location

Material

October 12, 2018
9 a.m. to 12 p.m.

Blake Office Park East
Hood room
Lacey

Agenda (2018-10-12)

Notes (2018-10-12)

September 27, 2018
3 to 5 p.m.
Blake Office Park East
Hood room
Lacey

Agenda (2018-09-27)

Notes (2018-09-27)

DRAFT recommendations for parent-initiated treatment (2018-09-27)
This is a working document from Age of Consent workgroup.
This draft includes survey results.

September 11, 2018
10 a.m. to 12 p.m.
Blake Office Park East
Rose room
Lacey

Agenda (2018-09-11)

Notes (2018-09-11)

Presentation:Age of Consent Survey Results

DRAFT recommendations for parent-initiated treatment (2018-09-11)
This is a working document from Age of Consent workgroup.
This draft includes survey results.

August 10, 2018
9 a.m. to 12 p.m.

Blake Office Park East
Hood room
Lacey

Agenda (2018-08-10)

Notes (2018-08-10)

Presentation:
The Parent Perspective
by Peggy Dolane

Handout: Key issues in parent-initiated treatment from the parent perspective

Handout:  2016 Hawaii revised statutes

Handout:  Parent and adolescent decision making authority by state
(provided by Kathy Brewer)

DRAFT recommendations for parent-initiated treatment
This is a working document from Age of Consent workgroup

August 2, 2018
2:30 to 4:30 p.m.

Blake Office Park East
Hood room
Lacey

Agenda (2018-08-02)

Notes (2018-08-02)

Presentation:
Student Discipline: Policies, Practices, and Data
by Joshua Lynch
Learning Assistance Program, Office of Superintendent of Public Instruction

Presentation:
OSPI/Educational Service District Regional Behavioral Health Project Update
by Dr. Mona Johnson
Student Engagement and Support, Office of Superintendent of Public Instruction

Handout: Medicaid Waiver Project Proposal

July 16, 2018
3 to 5 p.m.
Blake Office Park West
Washington room
Lacey

Agenda (2018-07-16)

Notes (2018-07-16)

Date and time

Location

Material

September 11, 2018  

CSEC stakeholder survey results (2018-09-11)
 

July 19, 2018
1 to 3 p.m.

A Way Home WA
Conference room
Seattle

Agenda (2018-07-16)

Notes (2018-07-16)

Date and time

Location

Material

October 2, 2018

Blake Office Park
room
Lacey

Agenda (2018-10-02)

Notes (2018-10-02)

Handout: Carrier responses to informal Office of the Insurance Commissioner survey

Handout: Insurer survey response

September 11, 2018
8 to 10 a.m.

Blake Office Park East
Olympus room
Lacey

Agenda (2018-09-11)

Notes (2018-09-011)

Handout: BHO and Inpatient Psychiatry Admission Standards
(provided by Kathy Brewer, Seattle Children's Hospital)

Handout: Insurer survey response BHOs and MCOs

Handout: State plan modalities

August 24, 2018
1 p.m. to 3 p.m.

 

Blake Office Park East
Hood room
Lacey

Agenda (2018-08-24)

Notes (2018-08-24)

Handout: Carrier responses to informal Office of the Insurance Commissioner survey

Handout: Insurer survey response

July 16, 2018
10 a.m. to 12 p.m.

Blake Office Park West
Lacey

Agenda (2018-07-16)

Notes (2018-07-16)

Contact

Diana Cockrell
Email:
diana.cockrell@hca.wa.gov