4533. Behavioral Rehabilitation Services

Approval: Jennifer Strus, Asst. Secretary

Effective Date: September 27, 1995

Revised Date: July 1, 2014

Sunset Review: June 30, 2018


Behavior Rehabilitation Services (BRS) is a temporary intensive wraparound support and treatment program for youth with high-level service needs. BRS is used to stabilize youth (in-home or out-of-home) and assist in achieving their permanent plan.

BRS services are intended to:

  • Safely keep youth in their own homes with wraparound supports to the family
  • Safely reunify or achieve alternative permanency more quickly
  • Safely meet the needs of youth in family- based care to prevent the need for placement into a more restrictive setting
  • Safely reduce length of service by transitioning youth to a permanent home or less intensive service


RCW 13.34.100

WAC 388-25-0100


  1. Youth with high-level complex service needs are eligible for Behavioral Rehabilitation Services (BRS) when they meet specific BRS criteria.
  2. All youth must be referred to an RSN/local county mental health provider for a Wraparound Intensive Services (WISe) screen, when services are available in the county of referring CA staff, prior to BRS referral and approval.
  3. Youth can only receive BRS from contracted BRS service providers.
  4. The youth's CA worker must participate in BRS Child and Family Team (CFT) meetings which must include the provider, youth, community partners, and others identified by the family.
  5. The youth's CA worker will facilitate the discussion to identify a targeted discharge date and transition placement during the initial CFT meeting.
  6. BRS services that last longer than 12 months or past the age of 18 years requires approval to assure the barriers preventing the youth from transitioning out of BRS are addressed.
  7. If the youth requires out of state BRS, follow 4266 Out-of-State Placements policy.


  1. Eligibility and Referral

    The Social Worker will:

    1. Consult with the Regional BRS Manager to determine if a BRS referral is needed or appropriate for the youth. If BRS Manager agrees, complete the referral process as follows:
      1. Refer youth to the RSN/local county mental health provider for a WISe screen (when available in the county of origin). Once screening has been completed:
        • Request a copy of the WISe screen from the county mental health provider and include a copy in the BRS referral packet.
        • If a hard copy of WISe screen result is not available, document the results on the BRS Referral form (DSHS 10-166a).
        • If a WISe screen was requested, but not completed by the RSN/local county mental health provider, document this fact on BRS Referral form (DSHS 10-166a).
        • Document in case notes when a WISe referral is made and the results of WISe screenings.
      2. Identify needed supports and services for the youth and family during a Family Team Decision Making (FTDM) or Shared Planning Meeting held before a BRS referral is made.
      3. Complete a BRS referral form and packet when the FTDM or Shared Planning Meeting team indicates the youth would benefit from BRS.
      4. Obtain supervisor and Area Administrator approval before sending the referral packet to the regional BRS Manager.

      The Regional BRS Manager will:

      1. Review referral packet.
      2. Verify that a WISe screen referral was made or results are included in the referral packet. If a screen was not completed, ensure that that the worker documented on the BRS referral form (DSHS 10-166a) that the screen was requested, but not completed, and the date referral was made. Approval for BRS must not be granted without this information in counties where WISe has been implemented.
      3. Determine youth's eligibility for BRS and review youth's discharge and or permanency plan.
      4. Send referral packet and negotiate the service level needed with the contracted service provider.
      5. Notify CA worker of the provider, service level and contracted rate once provider has been determined.
      6. When the youth's needs exceed the BRS level of care:
        1. Consult with CA HQ Intensive Resource Manager.
        2. Negotiate with potential in-state agencies regarding an Intensive Residential Child Specific wraparound service contract and obtain Regional Administrator or designee approval.
        3. Work with Regional Contract Manager to initiate the Child Specific contract if approved. DSHS 10-490 form must be completed by the potential contractor per instructions included in the form. This document must be included with the contract approval request.
        4. Follow Policy 4266 Out-of-State Placements if youth requires out of state Intensive Residential Child Specific contracted services. DSHS 10-490 form must be completed.
      7. Obtain approval from the receiving BRS manager when out-of-region BRS is needed.
    2. The Service Period (In-home or out-of-home)

      The CA Worker will:

      1. Document service type, placement (if needed) and payment in the electronic case file.
      2. Participate in all CFT meetings. Actively involve youth, youth's family and other identified supports in case planning. The meeting will focus on the youth's transition to a less intensive service or a permanent home.

        Important: CFT meetings are usually held in the family's community and include the following people:

        Youth, parents/caregivers, family members, community members, mental health professionals, educators, and other individuals agreed upon by the family.

      3. Focus CFT meetings on measurable outcomes related to safety, stability, permanency and discharge planning for the youth.
      4. During quarterly case reviews with the BRS Contractor:
        1. Discuss WISe screen results
        2. Review progress and discharge reports from the contractor (WISe screen results should be included). BRS Contractors are required to refer youth to the RSN/local county mental health provider for a WISe screen (when available in the county of origin) at least every six months and prior to discharge.
        3. Document the results of case review in case notes.
      5. Share information with the youth in accordance with the disclosure policy. Share information with the dependent youth about the court processes and their right to legal representation according to RCW 13.34.100
      6. Assist youth 15 and older who are in out-of-home care for more than 30 days in completing the Ansell-Casey Life Skills Assessment (ACLSA) and Learning Plan (LP) per the 43102 CA Responsibilities to Youth 12 and Older policy.
      7. Complete a personalized, youth directed Transition Plan for youth age 17.5 as required per the 43104 Transition Planning for Dependent Youth 15-18 Years policy.
      8. Obtain written approval from the RA or designee to extend BRS when barriers exist that prevents the youth transitioning out of BRS within 12 months. Approval must be obtained prior to the 12th month and every six months thereafter. A copy of the written approval must be sent to Regional BRS manager.
      9. For a youth to remain in BRS past age 18, policy 43105 Extended Foster Care must be followed.  Obtain written approval from RA or Designee  and every six months thereafter.  A copy of the written approval must be sent to the Regional BRS manager.

      Regional BRS Manager will:

      1. Provide oversight, guidance, consultation regarding BRS contractor's compliance. Including quality of service, outcomes and performance.
      2. Monitor and track regional BRS data, including but not limited to, date of entry, exit, length of stay, placement type, service and rate.
      3. Review every six months, the youth's service needs, level of care, target exit date, and transition plan in collaboration with the social worker and contracted service provider.
      4. Participate in CFT meetings when possible.
    3. Aftercare (Out-of-home BRS)

      The CA Worker will:

      1. Participate in all CFT meetings to discuss after care wraparound planning that supports the youth and family to achieve stability, permanency or placement transition.

      Regional BRS Manager will:

      1. Consult with the social worker to develop an aftercare service plan.
      2. Negotiate with the contracted provider on an aftercare service plan.

    Forms and Tools

    • Behavioral Rehabilitation Services Referral Form (DSHS 10-166a)
    • Child Specific Contract Rate Proposal Form (DSHS 10-490)
    • BRS Screening Guide