Register December 2010 No. 660
Chapter DHS 34
EMERGENCY MENTAL HEALTH SERVICE PROGRAMS
Subchapter I — General Provisions
Authority, scope and purpose.
Subchapter II — Standards for Basic Emergency Service Programs
Subchapter III — Standards for Emergency Service Programs Eligible for Medical Assistance Program or Other Third Party Reimbursement
Assessment and response.
Client service records.
Ch. DHS 34 Note
Corrections in this chapter made under s. 13.93 (2m) (b) 1., 6., 7., Stats., Register, September, 1996, No. 489
. Chapter HFS 34 was renumbered to chapter DHS 34 under s. 13.92 (4) (b) 1., Stats., and corrections made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635
. Chapter DHS 34 was reprinted Register December 2010 No. 660 to revise a Note in s. DHS 34.03.
DHS 34.01 Authority, scope and purpose. DHS 34.01(1)
This chapter is promulgated under the authority of s. 51.42 (7) (b)
, Stats., to establish standards and procedures for certification of county and multi-county emergency mental health service programs. Section 51.42 (1) (b)
, Stats., requires every county to provide emergency mental health services to persons within the county in need of those services. The persons who need those services are persons who are experiencing a mental health crisis or are in a situation likely to turn into a mental health crisis if supportive services are not provided. A county may comply with s. 51.42 (1) (b)
, Stats., by operating or contracting for the operation of an emergency mental health program certified under this subchapter and either subch. II
or III of ch. DHS 34
This chapter applies to the department, to counties that request certification or are certified to provide emergency mental health services and to county-contracted agencies that request certification or are certified to provide emergency mental health services.
This chapter relates only to the certification of programs providing emergency mental health services. It is not intended to regulate other mental health service programs or other emergency service programs.
DHS 34.01 History
Cr. Register, September, 1996, No. 489
, eff. 10-1-96;
correction in (1) made under s. 13.93 (2m) (b) 7., Stats, Register, April, 2000, No. 532
DHS 34.02 Definitions.
In this chapter:
“Certification" means the approval granted by the department that a county's emergency mental health services program meets the requirements of this chapter.
“Client" means a person receiving emergency mental health services from a program.
“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.
“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)
“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.
“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.
“Department" means the Wisconsin department of health services.
“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.
“Guardian" means the person or agency appointed by a court under ch. 54, Stats.
, to act as the guardian of a person.
“Medication administration" means the physical act of giving medication to a client by the prescribed route.
“Medication monitoring" means observation to determine and identify any beneficial or undesirable effects which could be related to taking psychotropic medications.
“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.
“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.
“Mobile crisis service" means a mental health service which provides immediate, on-site, in-person mental health service for individuals experiencing a mental health crisis.
“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.
“Program" means an emergency mental health services program certified under this chapter.
“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.
DHS 34.02 Note
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.
“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.
“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.
“Telephone services" means telephone response services to provide callers with immediate information, counseling, support and referral and to screen for situations which require in-person responses.
“Walk-in services" means emergency mental health services provided at one or more locations in the county where a person can come and receive information and immediate, face-to-face counseling, support and referral.
DHS 34.02 History
Cr. Register, September, 1996, No. 489
, eff. 10-1-96; corrections in (7), (9) and (13) made under s. 13.92 (4)
b) 6. and 7., Stats., Register November 2008 No. 635
A county department seeking to have its emergency mental health services program certified or recertified under this chapter, or a private agency contracting with a county department to operate an emergency mental health services program, shall submit a written application to the department.
The application shall contain information and supporting documents required by the department.
DHS 34.03 Note
Note: For a copy of the application form, write to the Behavioral Health Certification Section, Division of Quality Assurance, P.O. Box 2969, Madison, WI, 53701-2969.