reglab/statecodes huggingface dataset:
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 40 - Mental Health Day Treatment For Youth › Section DHS 40.17 - Program evaluation

Current through June 24, 2024
(1) OUTCOMES. A program shall at least
				annually evaluate the effectiveness of services provided to its clients by
				doing all of the following:
(a) Preparing a
				statement of the program's clinical and support services outcomes for youth
				stated in objectively measurable terms.
(b) Preparing and making available to the
				public an annual report of youth service outcomes.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 40 - Mental Health Day Treatment For Youth › Section DHS 40.18 - Death Reporting

Current through June 24, 2024
Each program shall adopt written policies and procedures for
				  reporting to the department deaths of youth no later than 24 hours after a
				  death due to suicide, psychotropic medications, or use of physical restraints,
				  as required by s.
				  51.64(2),
				  Stats.
Copies of the form for reporting these deaths can be
					 obtained from
https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm
.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter I - General Provisions and Requirements › Section DHS 50.01 - Authority and purpose

Current through June 24, 2024
This chapter is promulgated under the authority of ss.
					 51.042(4),
					 51.42(7)
					 (b), and
					 227.11(2)
					 (a), Stats., for the purpose of creating
					 certification to operate youth crisis stabilization
					 facilities.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter I - General Provisions and Requirements › Section DHS 50.02 - Definitions

Current through June 24, 2024
(1) "Chemical restraint" means any drug, drug
				  dosage, or drug regimen that may decrease a youth's independent functioning,
				  that is administered to control a youth's behavior, and that is not prescribed
				  to the youth for the treatment of a medical or psychiatric condition.
(2) "Clinical staff" means any of the
				  following:
(a) A psychiatrist with the
				  qualifications stated in s.
				  DHS 34.21 (3) (b)
				  1.
(b) A psychologist with the qualifications
				  stated in s.
				  DHS 34.21 (3) (b)
				  2.
(c) A psychology resident with the
				  qualifications stated in s.
				  DHS 34.21 (3) (b)
				  3.
(d) A psychiatric resident with the
				  qualifications stated in s.
				  DHS 34.21 (3) (b)
				  4.
(e) A certified independent clinical social
				  worker with the qualifications stated in s.
				  DHS 34.21 (3) (b)
				  5.
(f) A psychiatric nurse with the
				  qualifications stated in s.
				  DHS 34.21 (3) (b)
				  6.
(g) A professional counselor and marriage and
				  family therapist with the qualifications stated in s.
				  DHS 34.21 (3) (b)
				  7.
(h) Licensed certified social workers,
				  certified advance practice social workers and certified independent social
				  workers shall meet the qualifications established in s.
				  DHS 34.21 (3)
				  (b) 13.
(i) A qualified treatment trainee, who is a
				  master's level clinician who has a master's degree and coursework in areas
				  directly related to providing mental health services, including clinical
				  psychology, psychology, school or educational psychology, rehabilitation
				  psychology, counseling and guidance or counseling
				  psychology.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter I - General Provisions and Requirements › Section DHS 50.03 - Certification

Current through June 24, 2024
(1) GENERAL. No person or entity may operate
				  a YCSF without successfully completing a background check verified by the
				  Office of Caregiver quality and obtaining a certification from the department.
				  A YCSF that has a certification from the department under this section is not
				  subject to facility regulation under ch. 48, Stats.
Note:
Information about obtaining a background
					 check is available at:
https://www.dhs.wisconsin.gov/caregiver/cbcprocess.htm
.
(2) APPLICATION. A YCSF may apply for a
				  certification by submitting all of the following application materials to the
				  department at the address given on the application:
(a) A completed application form.
Note:
Application forms are available at
https://www.dhs.wisconsin.gov/regulations/mentalhealth/certification.htm
.
(b) Payment for the application fee required
				  under s.
				  51.04,
				  Stats.,
Note:
Fee information is available at
https://www.dhs.wisconsin.gov/regulations/mentalhealth/certification.htm
.
(c) A program statement as specified under s.
				  DHS 50.05.
(e) A copy of the youth
				  crisis stabilization facility's policies and procedures, as specified under s.
				  DHS 50.06.
(f) A floor plan of the
				  YCSF, specifying dimensions, exits, and planned room usage.
(g) All inspection reports completed during
				  the last 12 months as defined in ss. DHS 50.15 to 50.18.
(h) Proof of building insurance, risk, and
				  liability insurance, and agency-owned vehicle insurance if transporting
				  youth.
(i) Payment of any
				  forfeitures, fees, or assessments related to any licenses or certifications
				  issued by the department to the applicant, or a written statement signed by an
				  authorized representative stating that no fees, forfeitures, assessments are
				  owed.
(j) Any other applicable
				  fees.
(k) Any additional
				  information requested by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter I - General Provisions and Requirements › Section DHS 50.04 - Variance and waiver

Current through June 24, 2024
(1) In this section:
(a) "Variance" means an alternate means of
				  meeting a requirement in this chapter.
(b) "Waiver" means an exemption from a
				  requirement of this chapter.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter I - General Provisions and Requirements › Section DHS 50.05 - Program Statement

Current through June 24, 2024
A program statement shall contain all of the
					 following:
(1) A description of how the
				  YCSF fits into a continuum of care for youth crisis stabilization and treatment
				  services.
(2) A description of
				  services the program intends to provide, including all of the following:
(a) Referral and screening
				  procedures.
(b) Intake procedures,
				  including medication review.
(c)
				  Assessment and treatment planning, including assessment of risk factors and
				  safety planning for youth.
(d)
				  Treatment services, including crisis prevention and emotional regulation,
				  including, if applicable, a description of any services that will be delivered
				  in a group setting.
(e) Care
				  coordination.
(f) Discharge
				  planning, including any linkages and follow-up.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.06 - Required Policies

Current through June 24, 2024
A YCSF must have written policies and procedures for the
					 following:
(1) Admission policy and
				  criteria, including ages and gender of youth served, and how bedrooms will be
				  allocated.
(2) Utilization review
				  policy addressing determination of need and length of stay, frequency of
				  review, and other utilization policy as needed. The YCSF is meant to be a
				  short-term crisis stabilization facility. If utilization reviews show that a
				  youth requires stabilization longer than a 30-day period, approval from the
				  department must be obtained.
Note:
Approval may be requested at:
https://www.dhs.wisconsin.gov/mh/ycsf.htm
.
(3) Policy on prescriber consulting
				  relationships and processes to access consultation with a physician,
				  psychiatrist, physician's assistant, or advanced practice nurse prescriber, to
				  prescribe or consult on psychiatric medications of youths. This can include a
				  youth's own provider.
(4) Policy on
				  how medications will be stored, secured, managed, and administered, and which
				  staff is responsible. A description of how medical conditions, if any, will be
				  managed.
(5) Policy on medical
				  emergencies.
(6) Policy on clinical
				  supervision, per s.
				  DHS
				  50.09.
(7)
				  Policies for youths' personal possessions, communication devices including
				  phones, electronics usage, room searches, or other applicable
				  policies.
(8) Facility rules,
				  provided to youth and staff.
(9)
				  Where client records will be maintained and how confidentiality requirements of
				  those records will be safeguarded, as required under s.
				  DHS
				  50.14.
(10) Policy on how the YCSF will address
				  safety concerns specific to the youth being served.
(11) Policy on emergency safety
				  interventions. This policy must comply with s.
				  DHS
				  50.12. It must specify alternative interventions, best
				  practices, and how the YCSF plans to implement emergency safety interventions.
				  If seclusion or restraint will be used, it must provide a description of how it
				  will be handled procedurally and for seclusion where the intervention will
				  occur.
(11m) Policy on telehealth,
				  including when telehealth can be used and by whom, patient privacy and
				  information security considerations, and the right to decline services provided
				  via telehealth.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.07 - Personnel

Current through June 24, 2024
(1) POLICIES.
(a) A YCSF shall have written personnel
				  policies.
(b) A YCSF shall maintain
				  written documentation of employee qualifications and shall make that
				  information available upon request for review by youths and their
				  representatives or parents, and by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.08 - Orientation and Training

Current through June 24, 2024
(1) Initial and
				  ongoing orientation and training requirements must comply with s.
				  DHS
				  34.21(8) (a) to (d).
(2) Training must include review of this
				  chapter, including review and training on all YCSF policy and procedures,
				  program statement, and other pertinent information.
(3) Training must include content specific to
				  youth in crisis and their treatment needs.
(4) Training for standard precautions, fire
				  safety, first aid and choking, and medication administration and management is
				  required and must comply with s.
				  DHS 83.20(1) and
				  (2).
(5) Training must include emergency safety
				  interventions per s. DHS 50.12 and include de-escalation techniques,
				  redirection, and other preventative techniques.
(6) Staff must be trained on mandated
				  reporting requirements. YCSF staff are considered mandated reporters under ss.
				  48.981(2)
				  (a) to (c), Stats.
(7) As part of its central administrative
				  records, a YCSF shall maintain updated, written copies of its orientation
				  program, evidence of current licensure and certification of professional staff,
				  and documentation of orientation and ongoing training received by program staff
				  and volunteers.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.09 - Clinical Supervision

Current through June 24, 2024
(1) The clinical coordinator shall be
				  responsible for oversight of the job performance and actions of each staff
				  member who is providing clinical services and support services, and for
				  ensuring staff compliance with all laws and regulations governing care and
				  treatment as well as the standards of practice of their individual
				  professions.
(2) Each YCSF shall
				  develop and implement a written policy for clinical supervision and clinical
				  collaboration designed to provide sufficient guidance to assure the delivery of
				  effective services. The policy shall address all of the following:
(a) A method of assessing and evaluating
				  treatment needs and outcomes to determine if treatment provided is effective,
				  and a system to identify any necessary corrective measures and make changes to
				  improve progress.
(b)
				  Identification of clinical issues, including incidents that pose a significant
				  risk of an adverse outcome for youth that should warrant clinical
				  collaboration, or clinical supervision that is in addition to the supervisions
				  specified under ch. MPSW 4, 12, or 16, or ch. Psy 2, or for a recognized
				  psychotherapy practitioner, whichever is applicable.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.10 - Admissions

Current through June 24, 2024
(1) CRITERIA FOR ADMISSION. Admission is
				  voluntary, except that a minor may be admitted to a YCSF under this section by
				  a court order under s.
				  51.20(13) (a)
				  3, Stats., or through the procedure under s.
				  51.13, Stats.
				  No YCSF may accept a minor for detention under s.
				  51.15,
				  Stats.
(2) ELIGIBILITY FOR
				  SERVICES.
(a) A YCSF provides emergency mental
				  health services. To receive emergency mental health services, a youth shall be
				  in a crisis or be in a situation which is likely to develop into a crisis if
				  supports are not provided.
(b)
				  Admission may be preventative.
(c)
				  A YCSF may accept an eligible youth from an inpatient setting.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.11 - Program Components

Current through June 24, 2024
A YCSF shall offer or arrange for all of the following
					 minimum required services:
(1) A
				  structured therapeutic milieu supervised by a clinical coordinator.
(2) Therapeutic interventions and
				  skills-building which will help youth manage their emotions and behavior in
				  ways that will benefit them and will assist them in avoiding future
				  crises.
(3) A YCSF shall provide
				  care coordination services to each youth. The care coordinator shall be staff
				  in compliance with s.
				  DHS
				  34.21(3) (b) 1. to 14. Care
				  coordination shall include all of the following:
(a) Providing the youth or legal
				  representative, or both, with an explanation of the nature and goals of the
				  program, and the rights and responsibilities of the youth.
(b) Facilitating the youth's assessment,
				  developing and implementing the treatment plan, conducting ongoing case
				  reviews, and identifying services to support the youth at discharge,
				  encouraging family-driven care whenever possible.
(c) Serving as an advocate for the youth with
				  other agencies and programs to help the youth obtain necessary services and
				  coordinating treatment to prevent further crises.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.12 - Emergency safety interventions

Current through June 24, 2024
(1) PROHIBITED
				  INTERVENTIONS. Mechanical restraints and chemical restraints are
				  prohibited.
(2) GENERAL
				  REQUIREMENTS. Seclusion and physical restraint shall only be administered by
				  YCSF staff who have completed orientation and training described in s.
				  DHS
				  50.08 and shall comply with the requirements for
				  emergency safety interventions under s.
				  51.61 (1) (i),
				  Stats., s.
				  DHS
				  94.10, and this chapter.
(3) ADMINISTRATION REQUIREMENTS. All of the
				  following requirements apply to the administration of seclusion and physical
				  restraint:
(a) Seclusion and physical
				  restraint may only be administered when all other less restrictive methods have
				  been exhausted.
(b) Seclusion and
				  physical restraint shall be administered for the shortest time possible and
				  only until the youth is no longer a danger to self or others.
(c) Seclusion and physical restraint shall be
				  administered in a manner that is attentive to, and respectful of, the trauma
				  history, dignity, and civil rights of the youth.
(d) Seclusion and physical restraint shall be
				  administered in a manner that avoids or causes the least possible physical or
				  emotional discomfort, harm, and pain to the youth.
(e) Regular access to bathroom facilities,
				  drinking water, and necessary medication shall be provided according to the
				  youth's needs during the administration of seclusion or physical restraint.
				  Temperature and lights shall be maintained at levels which are comfortable to
				  the youth.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.13 - Investigation, notification, and reporting requirements

Current through June 24, 2024
(1) DEATH REPORTING.
(a)
Youth death related to physical
				  restraint, seclusion, psychotropic medication, or suicide.
No later
				  than 24 hours after the death of a youth, the YCSF shall report the death to
				  the department if there is reasonable cause to believe the death was related to
				  the use of a physical restraint, seclusion, or psychotropic medication, or was
				  a suicide, as provided in s.
				  51.64,
				  Stats.
Note:
Death reporting process and forms may be
					 found at:
https://www.dhs.wisconsin.gov/regulations/report-death/proc-reportingdeath.htm
.
(b)
Youth death related to an
				  accident, injury, natural causes, or other reasons.
When a youth dies
				  for any reason other than the use of a physical restraint, seclusion,
				  psychotropic medication, or suicide, the YCSF shall send a report to the
				  department within 3 business days of the youth's death.
Note:
The department's reporting link is:
https://www.dhs.wisconsin.gov/mh/ycsf.htm
.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter II - Program Requirements › Section DHS 50.14 - Client Rights

Current through June 24, 2024
All YCSF operations and services shall comply with s.
					 51.61, Stats. and
					 ch. DHS 94 on the rights of clients.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter III - Facilities › Section DHS 50.15 - General Requirements

Current through June 24, 2024
(1) GENERAL REQUIREMENTS.
(a) A facility shall comply with the state
				  building code requirements in chs.
				  SPS
				  361 to 366, and any applicable local ordinances or
				  municipal building regulations.
(b)
				  The YCSF shall maintain the facility in a state of good repair and in a clean,
				  safe and sanitary condition.
(c) A
				  facility must be in compliance with the Americans with Disabilities
				  Act.
(d) Any YCSF that shares a
				  facility with another program must, at a minimum, meet the facility
				  requirements in ss. DHS 50.15 to 50.18. The YCSF must be securely separated
				  from other programs.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter III - Facilities › Section DHS 50.16 - General safety precautions

Current through June 24, 2024
(1) Electrical
				  systems and appliances shall be in good repair and properly
				  protected.
(2) Tubs and showers
				  shall have safety strips or other non-slip surfaces applied to prevent
				  slipping.
(3) The indoor and
				  outdoor premises shall be free of hazards.
(4) There shall be no visible flaking or
				  deteriorating paint on exterior or interior surfaces.
(5) No lead-based paint or other toxic
				  finishing material may be used on the premises of the facility.
(6) Stairways, halls, and aisles shall be
				  maintained in good repair, adequately lighted and free from
				  obstacles.
(7) Stairs shall have a
				  non-slip surface.
(8) Each stairway
				  and walkway ramp shall have a handrail.
(9) Exterior stairs, walks, ramps, and
				  porches shall be maintained in a safe condition and free from the accumulation
				  of water, ice, or snow.
(10)
				  Dangerous equipment and harmful substances unnecessary for the operation of the
				  YCSF may not be kept on the premises. All necessary but potentially dangerous
				  equipment, toxic substances, and medications shall be kept inaccessible to
				  youths.
(11) All areas of the
				  facility must be free from mold.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter III - Facilities › Section DHS 50.17 - Fire safety

Current through June 24, 2024
(1) SMOKE DETECTION.
(a) Each facility shall have a smoke
				  detection system. The system shall be an electrically interconnected system
				  listed by Underwriter's Laboratory or a radio signal-emitting system which has
				  at least one centrally mounted alarm horn which, when activated can be heard
				  throughout the premises.
(b) A
				  smoke detector shall be located at each of the following locations in the
				  facility:
1. Head of every open
				  stairway.
2. Next to doors leading
				  to every enclosed stairway on each floor level.
3. Every hall. Smoke detectors located in a
				  hall shall not be spaced more than 30 feet apart nor more than 15 feet from any
				  wall.
4. Common use rooms,
				  including living rooms, dining areas, lounges, family rooms, and recreation
				  rooms, except the kitchen.
5.
				  Bedrooms.
6. Basement.
7. Attic, if accessible.
(c) The smoke detection system shall be
				  tested at least monthly and results documented and kept on file at the
				  facility.
(d) A smoke detector that
				  is located in a room used as a bedroom may be battery operated, free-standing,
				  and separate from the interconnected system.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 50 - Youth Crisis Stabilization Facilities › Subchapter III - Facilities › Section DHS 50.18 - Carbon monoxide detector

Current through June 24, 2024
A facility shall have a functional carbon monoxide detector
					 installed in the basement and on each floor level, except the attic, garage, or
					 storage area of each unit, in accordance with the requirements of s.
					 101.647,
					 Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 60 - Traffic And Conduct On State Treatment Institution Property › Section DHS 60.01 - Traffic and conduct on state treatment institution property

Current through June 24, 2024
(1) PURPOSE. The
				purpose of this section is to establish rules controlling traffic and conduct
				on state treatment institution property to protect the clients, employees,
				facilities, property and grounds of the respective institutions as authorized
				in s.
				46.03,
				Stats.
(2) TO WHOM THE RULES APPLY.
				This section applies to all individuals employed, receiving services, residing
				or visiting on the property of a state treatment institution.
(3) DEFINITIONS. In this section:
(a) "Client" means resident, patient,
				outpatient or individual receiving treatment or training services on the
				property of an institution.
(b)
				"Department", unless qualified, means the department of health
				services.
(c) "Director" means the
				director of the Mendota mental health institute, the director of the Winnebago
				mental health institute, the director of central Wisconsin center for the
				developmentally disabled, the director of northern Wisconsin center for the
				developmentally disabled, and the director of southern Wisconsin center for the
				developmentally disabled.
(d)
				"Institution" means Mendota mental health institute, Winnebago mental health
				institute, central Wisconsin center for the developmentally disabled, northern
				Wisconsin center for the developmentally disabled and southern Wisconsin center
				for the developmentally disabled.
(e) "Road" means driveway, street, avenue,
				court, circle, drive and lane.
(f)
				"Rule" means a rule as defined in s.
				227.01(13),
				Stats.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.01 - Introduction

Current through June 24, 2024
These are standards for a minimum level of services. They
					 are intended to establish a basis to assure adequate services provided by
					 boards and services provided by agencies under contract with the
					 boards.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.02 - General definitions

Current through June 24, 2024
The following definitions apply to all standards for
					 community mental health, developmental disabilities, and alcoholism and other
					 drug abuse services.
(1) "Board" means
				  a board of directors established under s.
				  51.42,
				  51.437,
				  or
				  46.23,
				  Stats.
(2) "Consultation" means
				  providing assistance to a wide variety of local agencies and individuals. It
				  includes indirect case consultation: the responding to specific requests of
				  consultees to help resolve an individual case management problem or to improve
				  the work function of the consultee. It includes problem related consultation:
				  the providing of assistance to other human service agencies for educational
				  purposes rather than individual case resolution. Consultation includes
				  administrative and program consultation: the providing of assistance to local
				  programs and government agencies in incorporating specific mental health,
				  developmental disabilities and alcohol and other drug abuse principles into
				  their programs.
(3) "Department"
				  means the department of health services.
(4) "Education" means the provision of
				  planned, structured learning experiences about a disability, its prevention,
				  and work skills in the field. Education programs should be specifically
				  designed to increase knowledge and to change attitudes and behavior. It
				  includes public education and continuing education.
(a) Public education is the provision of
				  planned learning experiences for specific lay or consumer groups and the
				  general public. The learning experiences may be characterized by careful
				  organization that includes development of appropriate goals and objectives.
				  Public education may be accomplished through using generally accepted
				  educational methods and materials.
(b) Continuing education is individual or
				  group learning activities designed to meet the unique needs of board members,
				  agency staffs, and providers in the community-based human service system.
				  Learning activities may also be directed towards the educational goals of
				  related care providers such as health care, social service, public school and
				  law enforcement personnel. The purpose may be to develop personal or
				  occupational potential by acquiring new skills and knowledge as well as
				  heightened sensitivity to human service needs.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.021 - Program element definitions

Current through June 24, 2024
(2) "Emergency care
				  I" means all outpatient emergencies including socio-emotional crises, attempted
				  suicides, family crises, etc. Included is the provision of examination, in
				  accordance with s. 51.45 (11) (c),
				  Stats., and if needed, transportation to an emergency room of a general
				  hospital for medical treatment.
(3)
				  "Emergency care II" means 24 hour emergency services provided on a voluntary
				  basis or under detention, protective custody, and confinement. Services include
				  crisis intervention, acute or sub-acute detoxification, and services for mental
				  health emergencies. Clients are to be assessed, monitored, and stabilized until
				  the emergency situation is abated. Included is the provision of examination, in
				  accordance with s. 51.45 (11) (c),
				  Stats., and transportation, if needed, to an emergency room of a general
				  hospital for medical treatment.
(4)
				  "Extended care" means a treatment oriented living facility service where
				  supervision, training, and personal care are available and access to programs
				  and medical care is ensured during a 24 hour day. Extended care programs
				  emphasize self care, social skills training, treatment, and recreation for
				  dependent persons with mental disabilities and in need of extended
				  care.
(4m) "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.
(5) "Inpatient"
				  means a medically oriented residential service which provides continuous
				  medical services on a 24 hour basis to enable an individual with problems
				  related to mental illness, alcohol and other drug abuse to function without 24
				  hour medical support services.
(a) Children
				  or adolescents shall not be placed in adult inpatient services for extended
				  periods of time. Placement of an individual under 18 years of age in an adult
				  program shall be for evaluation purposes only and shall not exceed 21 total
				  days within a 3 month time span.
(b) Inpatient treatment of individuals under
				  18 years of age shall be provided in specialized inpatient programs which
				  comply with standards specified in s.
				  DHS
				  61.79.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.022 - Disability related definitions

Current through June 24, 2024
(2) "Autism" means
				  a severe disorder of communication and behavior manifested during the early
				  stages of life. The autistic child appears to suffer primarily from a pervasive
				  impairment of cognitive or perceptual functioning, or both, the consequences of
				  which may be manifested by limited ability to understand, communicate, learn,
				  and participate in social relationships.
(3) "Cerebral palsy" means a term applied to
				  a group of permanently disabling symptoms resulting from damage to the
				  developing brain that may occur before, during, or after birth; and that
				  results in loss or impairment of control over voluntary muscles.
(5) "Developmental disability" has the
				  meaning given in s.
				  51.01(5)
				  (a), Stats.
(7) "Epilepsy" means a disorder of the brain
				  characterized by a recurring excessive neuronal discharge, manifested by
				  transient episodes of motor, sensory, or psychic dysfunction, with or without
				  unconsciousness or convulsive movements. The seizure is associated with marked
				  changes in recorded electrical brain activity.
(7m) "Intellectual disability" means
				  subaverage general intellectual functioning that originates during the
				  developmental period and is associated with impairment in adaptive
				  behavior.
(8) "Mental illness"
				  means mental disease to such extent that a person so afflicted requires care
				  and treatment for his or her own welfare, or the welfare of others, or of the
				  community.
(a) Mental illness, for purposes of
				  involuntary commitment, means a substantial disorder of thought, mood,
				  perception, orientation, or memory which grossly impairs judgment, behavior,
				  capacity to recognize reality, or ability to meet the ordinary demands of life,
				  but does not include alcoholism.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.03 - Eligibility

Current through June 24, 2024
(1) A program or service authorized under s.
				  51.42
				  or
				  51.437,
				  Stats., is required to meet these standards in order to be eligible for state
				  grants-in-aid.
(2) A board
				  organized under s.
				  51.42,
				  51.437
				  or
				  46.23,
				  Stats., shall submit an annual coordinated plan and budget in accordance with
				  s.
				  46.031,
				  Stats. The annual coordinated plan and budget shall establish priorities and
				  objectives for the year, intermediate range plans and budgets, and
				  modifications of long range objectives.
(a)
				  The coordinated plan and budget shall include plans for the provision of needed
				  services pertaining to all program elements.
(b) The coordinated plan and budget shall
				  include plans for the provision of all 16 elements of developmental disability
				  services.
(c) The coordinated plan
				  and budget shall include emphasis on special target populations mandated by the
				  department.
(d) The disability
				  group program elements, services and optional related services are as
				  follows:
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.04 - Administration

Current through June 24, 2024
The county board of supervisors of any county or
					 combination of counties shall establish a board of directors in accordance with
					 s.
					 46.23,
					 51.42(4)
					 or
					 51.437,
					 Stats. The board shall appoint a program director.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.05 - Administrative personnel

Current through June 24, 2024
(1) The board
				  program director is an administrator who has skills and knowledge in budgeting,
				  planning, and program management. Such skills and knowledge are typically
				  acquired during a course of study leading to a master's degree and 5 years of
				  related work experience in a relevant field.
(2) The board disability program coordinator
				  shall have skills and knowledge in psychology, social work, rehabilitation,
				  special education, health administration or a related human service field. The
				  skills and knowledge required for appointment are typically acquired during a
				  course of study leading to a master's degree in one of the above listed fields
				  and at least 4 years of relevant work experience.
(3) The clinical director of the board
				  program shall be a psychiatrist.
(4) Additional years of experience in a
				  relevant field may be substituted for the above academic qualifications. The
				  department may approve the employment of individuals with lesser qualifications
				  than stated in this subsection, if the program can demonstrate and document the
				  need to do so. Written documentation of administrative personnel qualifications
				  shall be maintained on file at the board office and available for inspection by
				  the department.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.07 - Uniform cost reporting

Current through June 24, 2024
There shall be a uniform cost reporting system used by
					 community programs receiving state funds. Methods of cost accounting will be
					 prescribed by the department.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.10 - Eligibility for service

Current through June 24, 2024
In accordance with Title VI and Title IX of the Civil
					 Rights Act and the Rehabilitation Act of 1973, services shall be available and
					 accessible and no person shall be denied service or discriminated against on
					 the basis of sex, race, color, creed, disability, age, location, or ability to
					 pay.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.13 - Client advocacy

Current through June 24, 2024
Clients shall be allowed to have an advocate present to
					 represent their interest during any phase of the staffing, program planning, or
					 other decision making process. This does not obligate the provider to furnish
					 the advocate but to facilitate the advocate's participation if so requested by
					 the client. The provider shall inform the client's advocate that assistance is
					 available from the coordinator of client advocacy in the division of community
					 services.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.14 - Affirmative action and civil rights compliance

Current through June 24, 2024
(1) The board shall
				  enunciate and annually reaffirm an explicit equal employment opportunity
				  prohibiting discrimination in all phases of employment to be disseminated among
				  employees and contracted agencies in order to promote acceptance and
				  support.
(2) The board shall be
				  responsible for the affirmative action program and shall assign to a high level
				  employee the responsibility and authority for the affirmative action program
				  implementation.
(3) An annual
				  affirmative action plan including goals and timetables shall be developed which
				  includes input from all levels of staff, and submitted to the division of
				  community services.
(4) The
				  practices of employee organizations and contracted agencies should conform to
				  the 51.42/41.437 agency's policy, and any negotiated agreements or contracts
				  shall contain a non-discrimination clause and a statement of conformance and
				  support for the program.
(5)
				  Training in the area of affirmative action for supervisory staff and employees
				  shall be provided by the 51.42/51.437 board.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.15 - Continuity of care

Current through June 24, 2024
(1) A program organized under s.
				  51.42,
				  51.437,
				  or
				  46.23,
				  Stats. shall provide services in a comprehensive coordinated manner.
(a) Written procedures for cooperative
				  working relationships between service provider agencies shall be established
				  and there shall be evidence that such collaborative services are being carried
				  out.
(b) Providers of services
				  shall cooperate in activities such as pre-screening, referral, follow up, and
				  aftercare, as required, to assure continuity of care and to avoid duplication
				  of services.
(c) There may be joint
				  use of professional and other staff by the services organized under the
				  boards.
(d) Access to treatment
				  records shall be according to ss.
				  51.03
				  and
				  51.30, Stats.
(e) Each 51.42/51.437 or 46.23 board shall
				  organize and maintain a central records system which provides for retrieval of
				  information about persons receiving treatment.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.16 - Volunteer services

Current through June 24, 2024
The use of volunteers is encouraged. They shall be
					 supervised by professional staff and there shall be written procedures for the
					 selection process, orientation, and inservice training of
					 volunteers.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.17 - Religious services

Current through June 24, 2024
(1) Religious services should be available to
				  all patient and residential programs to assure every person, who wishes, the
				  right to pursue the religious activities of his or her choice.
(2) Each inpatient service may provide
				  regularly scheduled visits by clergy.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.19 - Program evaluation

Current through June 24, 2024
Each board shall develop and use a plan for evaluation of
					 the effectiveness of its programs which will be made available to the
					 department upon request.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.20 - Enforcement

Current through June 24, 2024
(1) COMPLIANCE REQUIRED FOR STATE FUNDING.
				  All board operated or board contracted programs provided by a 51.42/51.437
				  board shall meet standards and be provided in a non-discriminatory manner as
				  prescribed in ss. DHS 61.10 and 61.14. The department may discontinue state
				  funding of a program when it does not meet standards as established by
				  departmental administrative rules and after the board has had reasonable notice
				  and opportunity for hearing by the department as provided in ch. 227,
				  Stats.
(2) PROVISIONAL APPROVAL.
				  When a program does not comply with standards, the department may allow a
				  compliance period of 6 months. After 6 months, the board's program shall comply
				  with standards or the board shall have demonstrated and documented significant
				  attempts toward compliance. Additional provisional approvals for 3 month
				  periods may be granted.
(3) WAIVER.
(a) If a board believes its program should
				  not have to comply with a standard, it may request a waiver. The request shall
				  be in writing to the department. It shall identify the standard and explain why
				  noncompliance would not diminish the effectiveness of its program.
(b) If the program holds current
				  accreditation issued by the joint commission on accreditation of hospitals, the
				  requirement to meet these standards may be waived by the department. The
				  accreditation by JCAH must be for an appropriate category such as adult
				  psychiatric inpatient, children and adolescents inpatient, alcoholism and drug
				  abuse, developmental disabilities, or community mental health
				  standards.
(c) The department may
				  grant exceptions to any of the rules for community mental health, developmental
				  disabilities and alcohol and other drug abuse standards. This may be done only
				  when the department is assured that granting the exceptions maintains equal or
				  higher quality of services provided.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.21 - Reports required by the department

Current through June 24, 2024
Statistical and other reports required by the department
					 shall be reported on the appropriate form, and at the times required by the
					 department.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.22 - Revision of standards

Current through June 24, 2024
The department shall periodically review and revise these
					 standards, not less frequently than every 5 years. Experiences in the
					 application of the standards shall be incorporated into the review and revision
					 process.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.23 - Confidentiality of records

Current through June 24, 2024
Records shall be kept on each recipient of services.
					 Confidentiality of records shall be safeguarded. Files shall be locked when not
					 in active use and kept in a secure place.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter I - General Provisions › Section DHS 61.24 - Education/information

Current through June 24, 2024
Each community services board shall develop a structured
					 plan for a comprehensive program of public education, continuing education, and
					 public information. In addition, education and preventive practices and
					 procedures shall be a recognizable and an integral part of every
					 program.
Wisconsin Administrative Code › Department of Health Services › DHS 30-100 - Community Services › Chapter DHS 61 - Community Mental Health And Developmental Disabilities › Subchapter II - Community Developmental Disabilities Services › Section DHS 61.30 - Introduction

Current through June 24, 2024
(1) PURPOSE OF RULES. The following rules
				  establish service standards for community developmental disabilities programs
				  whether directly operated by counties or contracted from private providers.
				  These service standards shall apply to each of the 16 services mandated by ch.
				  51, Stats., and contain the minimal requirements for each service.
(a) For administrative purposes it is
				  necessary to mesh the 16 services with the program elements used for reporting
				  and budgeting for state grant-in-aid. In programming for individuals with
				  developmental disabilities, the program elements of outpatient, day services,
				  sheltered employment, transitional or community living, extended care and
				  intervention are frequently referred to in relationship to the 16 required
				  developmental disability services.