Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 34 - Emergency Mental Health Service Programs › Subchapter I - General Provisions › Section DHS 34.02 - Definitions

Current through June 24, 2024
In this chapter:
(1) "Certification" means the approval
				  granted by the department that a county's emergency mental health services
				  program meets the requirements of this chapter.
(2) "Client" means a person receiving
				  emergency mental health services from a program.
(3) "Coordinated emergency mental health
				  services plan" means a plan prepared under s.
				  DHS 34.22
				  (1) by an emergency mental health services
				  program to ensure that emergency mental health services will be available that
				  are appropriate to the specific conditions and needs of the people of the
				  county in which the program operates.
(4) "County department" means a county
				  department of human services under s.
				  46.23, Stats., or a county
				  department of community programs under s.
				  51.42 (1) (b),
				  Stats.
(5) "Crisis" means a
				  situation caused by an individual's apparent mental disorder which results in a
				  high level of stress or anxiety for the individual, persons providing care for
				  the individual or the public which cannot be resolved by the available coping
				  methods of the individual or by the efforts of those providing ordinary care or
				  support for the individual.
(6)
				  "Crisis plan" means a plan prepared under s.
				  DHS 34.23
				  (7) for an individual at high risk of
				  experiencing a mental health crisis so that, if a crisis occurs, staff
				  responding to the situation will have the information and resources they need
				  to meet the person's individual service needs.
(7) "Department" means the Wisconsin
				  department of health services.
(8)
				  "Emergency mental health services" means a coordinated system of mental health
				  services which provides an immediate response to assist a person experiencing a
				  mental health crisis.
(8m)
				  "Functionally equivalent" means a service provided via telehealth where the
				  transmission of information is of sufficient quality as to be the same level of
				  service as an in-person visit. Transmission of voices, images, data, or video
				  must be clear and understandable.
(9) "Guardian" means the person or agency
				  appointed by a court under ch. 54, Stats., to act as the guardian of a
				  person.
(10) "Medical assistance"
				  means the assistance program under
				  42 USC
				  1396 and ss.
				  49.43 to
				  49.475 and
				  49.49 to
				  49.497, Stats.
(11) "Medication administration" means the
				  physical act of giving medication to a client by the prescribed
				  route.
(12) "Medication monitoring"
				  means observation to determine and identify any beneficial or undesirable
				  effects which could be related to taking psychotropic medications.
(13) "Medically necessary" has the meaning
				  prescribed under s.
				  DHS 101.03
				  (96m).
(14) "Mental disorder" means a condition
				  listed in the Diagnostic and Statistical Manual of Mental Disorders IV (4th
				  edition), published by the American psychiatric association, or in the
				  International Classification of Diseases, 9th edition, Clinical Modification,
				  ICD-9-CM, Chapter 5, "Mental Disorders," published by the U.S. department of
				  health and human services.
(15)
				  "Minor deficiency" means a determination by a representative of the department
				  that while an aspect of the operation of the program or the conduct of the
				  program's personnel deviates from the requirements of this chapter, the
				  deviation does not substantially interfere with the delivery of effective
				  treatment to clients, create a risk of harm to clients, violate the rights of
				  clients created by this chapter or by other state or federal law, misrepresent
				  the nature, amount or expense of services delivered or offered, or the
				  qualifications of the personnel offering those services, or impede effective
				  monitoring of the program by the department.
(16) "Mobile crisis service" means a mental
				  health service which provides immediate, on-site mental health service for
				  individuals experiencing a mental health crisis.
(16m) "Onsite" or "onsite response" means
				  crisis service providers are deployed in real time to the location and in the
				  physical presence of the person in crisis.
(17) "Parent" means a biological parent, a
				  husband who has consented to the artificial insemination of his wife under s.
				  891.40, Stats., a male who is
				  presumed to be the father under s.
				  891.41, Stats., or has been
				  adjudicated the child's father by final order or judgment of a court of
				  competent jurisdiction in this state or another state, or an adoptive parent,
				  but does not include a person whose parental rights have been
				  terminated.
(18) "Program" means an
				  emergency mental health services program certified under this
				  chapter.
(19) "Psychotropic
				  medication" means an antipsychotic, an antidepressant, lithium carbonate or a
				  tranquilizer or any other drug used to treat, manage or control psychiatric
				  symptoms or disordered behavior.
Note:
Examples of drugs other than an
					 antipsychotic or antidepressant, lithium carbonate or tranquilizer used to
					 treat, manage or control psychiatric symptoms or disordered behavior include,
					 but are not limited to, carbamazepine (Tegretol), which is typically used for
					 control of seizures but may be used to treat a bi-polar disorder, and
					 propanolol (Inderal), which is typically used to control high blood pressure
					 but may be used to treat explosive behavior or anxiety state.
(20) "Response plan" means the plan of action
				  developed by program staff under s.
				  DHS 34.23 (5)
				  (a) to assist a person experiencing a mental
				  health crisis.
(20m) "Signature" or
				  "signed" means a signature that meets the requirements in s.
				  990.01 (38),
				  Stats.
(21) "Stabilization
				  services" means optional emergency mental health services under s.
				  DHS 34.22
				  (4) which provide short-term, intensive,
				  community-based services to avoid the need for inpatient
				  hospitalization.
(21m)
(a) "Telehealth" means the use of
				  telecommunications technology by a certified provider to deliver services
				  allowable under this chapter, s.
				  DHS 107.02
				  (5), and ss.
				  49.45 (61) and
				  49.46 (2) (b)
				  21. to 23., Stats., including assessment, diagnosis, consultation, treatment,
				  or transfer of medically relevant data in a functionally equivalent manner to
				  an in-person contact.
(b)
				  "Telehealth" may include real-time interactive audio-only
				  communication.
(c) "Telehealth"
				  does not include communication between a certified provider and a recipient
				  that consists solely of an electronic mail, text, or facsimile
				  transmission.