DSHS - Center for Forensic Services Procedure Manual
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Center for Forensic Services Procedure Manual

Community Program Ward guidelines

Residents are expected to comply with the following:

  1. Show courtesy and respect for others.
  2. Practice good personal hygiene (bathe regularly, clean clothes, etc.) and clean up after themselves.
  3. Headphones can only be worn in sleeping areas.
  4. Appear at scheduled medication time(s) if on staff medication or self-medication Phase I and II.
  5. Participate in the daily aerobic walk. (Monday - Friday)*
  6. Notify ward staff and person responsible for activity/meeting if unable to attend.*
  7. Footwear is required on the ward.
  8. Sleep only in personal areas.
  9. Do not wear pajamas and robes in public areas between 8:00 a.m. - 9:00 p.m. unless sick.
  10. Do not bring caffeinated beverages on the ward.
  11. Provide weekly random urine drug screens by 6:00 p.m.*
  12. Have only up to $25 in cash unless more is authorized by therapist.
  13. Honor TV channel selection based on majority vote, except news programs that have priority between 5:00 p.m. and 6:30 p.m.
  14. Do not bring food or drink into sleeping areas.*
  15. Keep personal area clean. (See room clean up.)

* Violations result in the loss of furloughs and ground privileges for 24-hours. Repeated violations of other policies could also result in the same.

Medications and their proper use are fundamental to good mental health. The Community Program provides a Self-Medication Program. If on staff-medication or on self-medication Phase I or Phase II, residents are expected to be at the door to the medication room at the following times:

7:30 a.m. - 8:00 a.m.
11:00a.m. - 11:15 a.m.
3:30 p.m. - 4:00 p.m.
7:00 p.m. - 8:00 p.m.

If late for medications two times within a seven-day period, he/she will not be allowed grounds privileges (GP) or pleasure passes for three days. If this continues, within the same seven-day period, an additional day of restrictions will be added.

If on Self-Medication Phase II or Phase III, medications must be secured in locker.

All residents are required to attend the following meetings unless excused by their therapist or nursing staff.

Ward Briefing Meeting Mon.-Tues.-Wed.-Fri. 8:00 a.m.
Ward Meeting/Leisure Group Thursday 8:40 a.m.
Treatment Groups Tues. and Wed. (1st & 3rd wk. of month) 3:00 p.m.
Women’s Group Thursday Evening 5:30 p.m.
Life Skill’s Group Monday & Thursday 3:00 p.m.
  1. Respect others' rights to privacy.
  2. Limit calls to 30 minutes.
  3. Calls are to be made on the ward pay telephone. The therapists may authorize use of staff telephone in special cases.
  4. Business calls within the Hospital may be made on the ward telephone with staff approval.
  5. Use of the telephones is not permitted between 11:00 p.m. and 6:00 a.m.

Breakfast meal begins when it arrives – between 6:45 a.m. and 7:10 a.m. and ends at 7:45 a.m. Snacks are available in the kitchen between 6:30 p.m. and 9:00 p.m. Residents can prepare their own meals (during PDR hours) after signing the kitchen logbook in the nurses' station. Kitchen and dining area are to be kept clean and staff can close the kitchen for violations.

It is expected that personal areas will be kept clean. Staff will periodically inspect rooms. Room clean up must include the following and be completed by 9:00 a.m.:

  1. Bed made
  2. Floors clean
  3. Furniture and windowsills dusted
  4. Dresser orderly
  5. Clothes put away
  6. Sheets changed weekly
  7. Top of locker dusted
  8. Top of locker clear of belongings
  1. Visiting hours are 9 a.m. - 9 p.m. every day. Visits should be scheduled so they do
    not interfere with treatment activities or work assignments.
  2. All visitors must be screened by the therapist or designee. A Visitor Screening Form must be completed before the first visit. Visitors must sign the log book upon arrival to the ward.
  3. Visitors under the age of 18 must be accompanied by a parent or guardian and remain with the adult that accompanied them.
  4. Visitors may be asked to show the contents of purses, packages, etc.
  5. Visitors should be aware that it is a violation of state law to bring onto the Hospital grounds liquor, drugs, firearms or other weapons.
  6. Visitation can only take place in designated areas and, under no circumstances, in sleeping areas. Visiting the grounds is permitted if the visitor is approved and has signed in on the ward.
  7. More visitor information.

Level System for the Community Program ward:

1. PDR, Walk, Recreation,1 hour Ground Privileges 1st week
2. Two-Hour Ground Privileges 2nd Week
3. Full Ground Privileges 4th Week
4. Day Furloughs 6th Week
5. Overnight Furloughs 10th Week

New transfers to the ward will be allowed movement with a companion. A written test on the Community Program must be passed prior to acquiring individual movement. Those who need companions cannot go off-ward with a peer who requires a companion.

Residents must sign in and out in the ward sign-out book. This includes name, destination, time, and must be initialed by staff. Failure to sign in or out properly four times within a seven-day period will result in the loss of all pleasure passes and ground privileges for three days. If they do not sign out, they will lose privileges for 24 hours.

While on the grounds, residents must remain within the CFS boundary, follow the posted time schedule for grounds privileges and be back on the ward prior to the 9:00 p.m. curfew. When signing out for a work assignment, he/she must report back to the ward prior to leaving for the PDR or departing on a furlough. Residents must report back to the ward by telephone every two (2) hours while at their work assignment on the grounds. Ground privileges do not have to be used for meals, attending programs, or hospital functions (i.e. picnics, dances, carnivals.)

If a resident has not reported to the ward within one-half hour after expected return time, he/she will be placed on Unauthorized Leave and the ward will be grounded.

All off-ground movement requires signed approval of the primary therapist. Furlough slips must be filled out 50 days in advance and placed in the therapist's box.

Furloughs should provide as much detail as possible about the destination. All furlough requests must be recorded in the sign-out log at least 50 days prior to the beginning of the furlough. Clothing description will be completed prior to leaving.

The first three furloughs must be with another Community Program resident who has already been approved for individual furloughs, and must end prior to 12:00 Midnight.

Furloughs will not be authorized unless daily obligations are fulfilled.

Conditions and destinations listed on furloughs must be adhered. If any problems occur while on furlough, the ward needs to be notified immediately, especially if the resident will be returning late.

Returning to the ward before a furlough expires and leaving again on an existing furlough is permitted. Signing in and out of the ward sign-out book is required.

If a resident has not reported to the ward within one hour after the end of a furlough, they will be placed on Unauthorized Leave and the ward will be grounded.



Prior to driving, proof of insurance and valid driver's license is required. Residents may be requested to demonstrate the ability to drive safely by performing the road test portion of the license examination or taking private driver's training. Traffic violations, on or off the hospital grounds may result in restrictions or loss of driving privileges.

Car keys will be locked in the nursing station when returning from a furlough.

Occupying a motor vehicle is not permitted unless departing or returning from furloughs.

May be allowed outside the building for the following if not fully restricted:

1) Lunch
2) Dinner
3) Work Assignments
4) Scheduled treatment programs.

Hospital or program functions cannot be attended unless approved by therapist. He/she can attend scheduled recreation if escorted by the Recreation Specialist.

Individuals are allowed to walk around Lake Waughop with staff, or by themselves, if they are a Level 4. If they complete the walk for a month they will receive a $20.00 gift certificate.

Property Request Forms are signed on Tuesdays and Thursday for amounts of $10.00 and not more than $150.00 by the Community Program Director. Requests over $150.00 requires CFS Clinical Director's signature. Requests must be in the Community Program Director's box by 9:00 a.m. Tuesdays and Thursdays.