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Policies & procedures

Survey-ready policies, cited to the standard, with the blanks marked

145 Word policies in 14 chapters, written fresh to the TJC Behavioral Health Care standards (July 2026 cycle) and California DHCS certification standards (February 2025). Each cites what it satisfies and marks what is specific to your program.

How it works

01

Find the policy

Fourteen chapters in survey order, or search a standard number.

02

Download the Word file

Numbered, cross-referenced, with the citation block and the blanks marked.

03

Fill in your program

Bracketed placeholders for everything specific to you: names, titles, hours, counts.

04

Adopt and track

The master index has Adopted, Owner, Approved and Next-review columns for your binder.

Every policy in the library (145)

Open any policy for what it must address and the TJC standard and DHCS regulation it cites. Filter by chapter, who requires it, or level of care. Downloads need the Program plan.

All 145Governance, Leadership & Organization 13Admission, Screening & Assessment 8Treatment, Services & Discharge 18Client Rights, Complaints & Ethics 15Medications, MAT, IMS & Withdrawal Management 14Safety, Suicide Prevention & Incidents 8Records, Privacy & Information Management 12Human Resources & Training 13Performance Improvement & Quality 3Infection Prevention & Control 7Environment of Care & Life Safety 10Emergency Management 6Marketing, Accreditation & Regulator Relations 6Conditional Policies 12
14 of 145
MM-01 Medication Management: Storage, Control & Security, first pagePolicy · TJC + DHCSMM-01 Medication Management: Storage, Control & SecurityMedications, MAT, IMS & Withdrawal ManagementMM-02 Self-Administration of Medication (Staff-Observed), first pagePolicy · TJC + DHCSMM-02 Self-Administration of Medication (Staff-Observed)Medications, MAT, IMS & Withdrawal ManagementMM-03 Medication Audits, Counts & Diversion Prevention, first pagePolicy · TJC + DHCSMM-03 Medication Audits, Counts & Diversion PreventionMedications, MAT, IMS & Withdrawal ManagementMM-04 Medication Destruction & Disposal, first pagePolicy · TJC + DHCSMM-04 Medication Destruction & DisposalMedications, MAT, IMS & Withdrawal ManagementMM-05 Medication Orders & Prescriber Communication, first pagePolicy · TJC + DHCSMM-05 Medication Orders & Prescriber CommunicationMedications, MAT, IMS & Withdrawal ManagementMM-06 Psychotropic Medication Monitoring, first pagePolicy · TJCMM-06 Psychotropic Medication MonitoringMedications, MAT, IMS & Withdrawal ManagementMM-07 Adverse Drug Events & Medication Errors, first pagePolicy · TJCMM-07 Adverse Drug Events & Medication ErrorsMedications, MAT, IMS & Withdrawal ManagementMM-08 Medication Reconciliation, first pagePolicy · TJCMM-08 Medication ReconciliationMedications, MAT, IMS & Withdrawal ManagementMM-09 Medications for Addiction Treatment (MAT/MOUD), first pagePolicy · TJC + DHCSMM-09 Medications for Addiction Treatment (MAT/MOUD)Medications, MAT, IMS & Withdrawal ManagementMM-10 Naloxone & Opioid Overdose Response, first pagePolicy · TJC + DHCSMM-10 Naloxone & Opioid Overdose ResponseMedications, MAT, IMS & Withdrawal ManagementMM-11 Incidental Medical Services (IMS), first pagePolicy · DHCSMM-11 Incidental Medical Services (IMS)Medications, MAT, IMS & Withdrawal ManagementMM-12 Withdrawal Management Protocol, first pagePolicy · TJC + DHCSMM-12 Withdrawal Management ProtocolMedications, MAT, IMS & Withdrawal ManagementMM-13 Withdrawal Management Staffing & Training, first pagePolicy · TJC + DHCSMM-13 Withdrawal Management Staffing & TrainingMedications, MAT, IMS & Withdrawal ManagementMM-14 Client-Owned Medications Brought In at Admission, first pagePolicy · Best practiceMM-14 Client-Owned Medications Brought In at AdmissionMedications, MAT, IMS & Withdrawal Management

Good to know

  • Written fresh from the regulations for resale: TJC BHC July 2026 cycle, DHCS AOD Certification Standards February 2025, 9 CCR Div. 4 Ch. 5, HSC Div. 10.5, 42 CFR Part 2 (2024).
  • Policies are starting templates. Review with your compliance lead and current state requirements before adopting.
  • Not affiliated with or endorsed by The Joint Commission, CARF or DHCS.
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