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2020 Clinical Practice Guidelines

Clinical Practice Guidelines define an expected standard of practice for behavioral health treatment services and must be effective in improving behavioral health treatment outcomes based on the following:

    • Recognized sources that develop or promote evidence-based clinical practice guidelines;

    • Valid and reliable clinical scientific evidence; 

    • In the absence of scientific evidence, professional standards; or 

    • In the absence of scientific evidence and professional standards, a consensus of Health Care Professionals in the particular field.

The guidelines must consider the needs of Individuals and support Individual and family involvement in care plans. 

While Clinical Practice Guidelines provide general guidance, providers are encouraged to use their best clinical judgment and ensure treatment is in compliance with Washington Administrative Codes and Revised Codes of Washington when applying guidelines.


The Spokane County Regional Behavioral Health (Administrative Services Organization), SCRBH (ASO), has adopted the following clinical practice guidelines which were approved by the SCRBH (ASO) Quality Assessment Performance Improvement (QAPI) committee on July 21, 2020:



Acute Stress and Post-Traumatic Stress Disorder (PTSD)


Department of Veterans Affairs & Department of Defense Clinical Practice Guideline for the Management of Post-Traumatic Stress Disorder and Acute Stress Disorder: https://www.healthquality.va.gov/guidelines/MH/ptsd/VADoDPTSDCPGFinal012418.pdf



Attention Deficit Hyperactivity Disorder (ADHD)


American Academy of Pediatrics Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescentshttps://pediatrics.aappublications.org/content/pediatrics/144/4/e20192528.full.pdf



Bipolar Disorder


The American Psychiatric Association Practice Guideline for the Treatment of Patients With Bipolar Disorder:




Anxiety and Panic Disorder


The American Psychiatric Association Practice Guideline for the Treatment of Patients With Panic Disorder: https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/panicdisorder.pdf



Crisis Services


SAMHSA National Guidelines for Behavioral Health Crisis Care: A Best Practices Toolkit: https://www.samhsa.gov/sites/default/files/national-guidelines-for-behavioral-health-crisis-care-02242020.pdf



Cultural Competence


SAMHSA TIP 59: Improving Cultural Competence: https://store.samhsa.gov/sites/default/files/d7/priv/sma14-4849.pdf




The American Psychiatric Association Practice Guideline for the Treatment of Patients With Major Depressive Disorder:






The American Psychiatric Association Practice Guideline for the Treatment of Patients With Schizophrenia, December 2019, currently undergoing editing:




Substance Use Disorder Treatment


SAMHSA TIP 42: Substance Use Treatment for Persons With Co-Occurring Disorders: https://store.samhsa.gov/sites/default/files/SAMHSA_Digital_Download/PEP20-02-01-004_Final_508.pdf


SAMHSA TIP 45: Detoxification and Substance Abuse Treatment: https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf

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