2559. Hospital Holds

Applies To:  This policy applies to child welfare employees.

Policy Number & Title: 2559. Hospital Holds 

Effective Date:  July 1, 2024


Purpose

Hospital administrators or physicians have legal authority to delay discharge of a child or youth through a hospital hold for up to 72 hours, without DCYF taking placement and care authority (PCA). The hospital administrator or physician must believe a child or youth is in imminent physical harm if released to their parents or guardians. This policy provides direction on how to respond to a hospital hold.

Authority

RCW 26.44.056  Protective detention or custody of abused child-Reasonable cause-Notice-Time limits-Monitoring plan-Liability

Policy

Caseworkers must:

  1. Assess if the child or youth is in imminent physical harm due to child abuse or neglect if discharged to the parents or guardians, when hospital administrators or physicians puts a child or youth on a hospital hold.
  2. Obtain the PCA of the child or youth if it is determined that they are in imminent physical harm and a safety plan cannot be developed to control or manage the identified threat.

Resources

Hospital Holds procedures (Located in the Policies & Rules Office SharePoint)

Safety Plan policy


Original Date:  September 1, 1995

Revised Date:  July 1, 2024

Review Date:   July 31, 2028

Approved by:  Natalie Green, Assistant Secretary of Child Welfare Division