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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
12 of 145
IM-01 Clinical Record Contents, first pagePolicy · TJC + DHCSIM-01 Clinical Record ContentsRecords, Privacy & Information ManagementIM-02 Documentation Timeliness, Authentication & Corrections, first pagePolicy · TJC + DHCSIM-02 Documentation Timeliness, Authentication & CorrectionsRecords, Privacy & Information ManagementIM-03 Clinical Record Audit, first pagePolicy · TJCIM-03 Clinical Record AuditRecords, Privacy & Information ManagementIM-04 Record Retention, Storage & Destruction, first pagePolicy · TJC + DHCSIM-04 Record Retention, Storage & DestructionRecords, Privacy & Information ManagementIM-05 Confidentiality & Privacy: 42 CFR Part 2, HIPAA and CMIA, first pagePolicy · TJC + DHCSIM-05 Confidentiality & Privacy: 42 CFR Part 2, HIPAA and CMIARecords, Privacy & Information ManagementIM-06 Information Security, first pagePolicy · TJC + DHCSIM-06 Information SecurityRecords, Privacy & Information ManagementIM-07 EHR Downtime & Information System Interruptions, first pagePolicy · TJCIM-07 EHR Downtime & Information System InterruptionsRecords, Privacy & Information ManagementIM-08 Prohibited Abbreviations, Acronyms & Symbols, first pagePolicy · TJCIM-08 Prohibited Abbreviations, Acronyms & SymbolsRecords, Privacy & Information ManagementIM-09 Release of Information, Subpoenas & Court Orders, first pagePolicy · TJC + DHCSIM-09 Release of Information, Subpoenas & Court OrdersRecords, Privacy & Information ManagementIM-10 Client Access to and Amendment of Records, first pagePolicy · TJC + DHCSIM-10 Client Access to and Amendment of RecordsRecords, Privacy & Information ManagementIM-11 Privacy Breach Response & Notification, first pagePolicy · TJC + DHCSIM-11 Privacy Breach Response & NotificationRecords, Privacy & Information ManagementIM-12 Social Media, Electronic Communication & Online Reviews, first pagePolicy · Best practiceIM-12 Social Media, Electronic Communication & Online ReviewsRecords, Privacy & Information 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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