Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 34 - Emergency Mental Health Service Programs › Subchapter III - Standards for Emergency Service Programs Eligible for Medical Assistance Program or Other Third Party Reimbursement › Section DHS 34.23 - Assessment and response

Current through June 24, 2024
(1) ELIGIBILITY FOR
				  SERVICES. To receive emergency mental health services, a person shall be in a
				  mental health crisis or be in a situation which is likely to develop into a
				  crisis if supports are not provided.
(2) WRITTEN POLICIES. A program shall have
				  written policies which describe all of the following:
(a) The procedures to be followed when
				  assessing the needs of a person who requests or is referred to the program for
				  emergency mental health services and for planning and implementing an
				  appropriate response based on the assessment.
(b) Adjustments to the general procedures
				  which will be followed when a person referred for services has a sensory,
				  cognitive, physical or communicative impairment which requires an adaptation or
				  accommodation in conducting the assessment or delivering services or when a
				  person's language or form of communication is one in which staff of the program
				  are not fluent.
(c) The type of
				  information to be obtained from or about a person seeking services.
(d) Criteria for deciding when emergency
				  mental health services are needed and for determining the type of service to be
				  provided.
(e) Procedures to be
				  followed for referral to other programs when a decision is made that a person's
				  condition does not constitute an actual or imminent mental health
				  crisis.
(f) Procedures for
				  obtaining immediate backup or a more thorough evaluation when the staff person
				  or persons making the initial contact require additional assistance.
(g) Procedures for coordinating referrals,
				  for providing and receiving backup and for exchanging information with other
				  mental health service providers in the county, including the development of
				  crisis plans for individuals who are at high risk for crisis.
(h) Criteria for deciding when the situation
				  requires a face-to-face response, the use of mobile crisis services,
				  stabilization services, if available, or hospitalization.
(i) Criteria and procedures for notifying
				  other persons, such as family members and people with whom the person is
				  living, that he or she may be at risk of harming himself or herself or
				  others.
(j) If the program
				  dispenses psychotropic medication, procedures governing the prescription and
				  administration of medications to clients and for monitoring the response of
				  clients to their medications.
(k)
				  Procedures for reporting deaths of clients which appear to be the result of
				  suicide, reaction to psychotropic medications or the use of physical restraints
				  or seclusion, as required by s.
				  51.64 (2),
				  Stats., and for:
1. Supporting and debriefing
				  family members, staff and other concerned persons who have been affected by the
				  death of a client.
2. Conducting a
				  clinical review of the death which includes getting the views of a mental
				  health professional not directly involved in the individual's treatment who has
				  the training and experience necessary to adequately examine the specific
				  circumstances surrounding the death.