Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter IV - Community Mental Health Programs › Section DHS 61.80 - Children and adolescent outpatient program

Current through June 24, 2024
(1) REQUIRED
				  PERSONNEL. Of the treatment personnel required for any out-patient service, a
				  minimum of 30% staff time must be devoted to children and adolescents services.
				  If qualified children and adolescents mental health professionals are not
				  available on a full or part-time basis, arrangements shall be made to obtain
				  their services on a consulting basis. The staffing patterns of the facility
				  shall be adequate for the provision of high quality of care and shall be
				  appropriate in relationship to: characteristics of patient population; the
				  hours and days the facility operates; chronological and developmental ages of
				  patients; assessment, therapeutic and follow-up programs; intensity and kinds
				  of treatment; nature of disorders, amount of work done with families and
				  significant others; geographic characteristics of territory to be covered;
				  community education and consultation programs; amount of training and research
				  done by facility.
(2) PROGRAM
				  OPERATION AND CONTENT.
(a)
Accessibility.
Outpatient services insofar as possible should
				  be scheduled at times that are reasonably convenient to the patients and
				  families served, in relation to the availability of transportation and
				  considering work or school requirements. The outpatient service shall make
				  provision for walk-in clients, provide for home visits, if clinically
				  indicated, offer clinical consultation to clients in day care services, head
				  start programs, schools, youth centers, jails, alternate care facilities and
				  other community programs. An appointment system that serves to minimize waiting
				  time, in addition to a system for follow-up of broken appointments, should be
				  established.
(b)
Program
				  content.
1. The patient shall
				  participate in the intake process and in the decision that outpatient treatment
				  is indicated to the extent appropriate to age, maturity and clinical condition.
				  The patient's family, wherever possible, shall have explained to them the
				  nature and goals of the outpatient treatment program and their expected
				  participation and responsibilities. Insofar as possible, the family shall be
				  informed and involved appropriately in decisions affecting the patient during
				  intake treatment, discharge and follow-up.
2. The psychiatric outpatient service shall
				  document about each patient: responsibility for financial support, arrangements
				  for appropriate family participation in the treatment program when indicated;
				  authorization and consent for emergency medical care if the patient becomes ill
				  or has an accident while in treatment and the family cannot be reached;
				  arrangements for transportation to and from the facility; and authorization if
				  the patient is to go to other community areas, facilities or events as part of
				  the outpatient program; releases for sharing of confidential materials when
				  necessary; appropriate consents for participation in research
				  programs.
3. Assessment shall
				  include clinical consideration of the physical, psychological, development,
				  chronological age, environmental, family, social, educational and recreational
				  factors related to the child and adolescent.
4. The relationship between any adult, who
				  has current and/or continuing responsibility for the child's and adolescent's
				  life, and the patient shall be carefully evaluated at regular
				  intervals.