DHS 75.04(4)(a)3.a. a. Drug-free dances and parties.
DHS 75.04(4)(a)3.b. b. Youth or adult leadership activities.
DHS 75.04(4)(a)3.c. c. After-school activities such as participation in athletic activities, in music lessons, an art club or the school newspaper.
DHS 75.04(4)(a)3.d. d. Community drop-in centers.
DHS 75.04(4)(a)3.e. e. Community service activities.
DHS 75.04(4)(a)4. 4. `Problem identification and referral.' This strategy is to identify individuals who have demonstrated at-risk behavior, such as indulging in illegal or age-inappropriate use of tobacco or alcohol or indulging in the first use of illicit drugs, to determine if their behavior can be reversed through education. This strategy does not include activities designed to determine if a person is in need of treatment. Examples of activities that may be conducted and methods used in carrying out this strategy are the following:
DHS 75.04(4)(a)4.a. a. Employee assistance programs.
DHS 75.04(4)(a)4.b. b. Student assistance programs.
DHS 75.04(4)(a)4.c. c. Educational programs for individuals charged with driving while under the influence or driving while intoxicated.
DHS 75.04(4)(a)5. 5. `Environmental.' This strategy aims at establishing written or unwritten community standards, codes and attitudes, thereby influencing the incidence and prevalence of at-risk behavior in the general population. This strategy distinguishes between activities that center on legal and regulatory initiatives and those which relate to the service and action-oriented initiatives. Examples of activities that may be conducted and methods used in carrying out this strategy are the following:
DHS 75.04(4)(a)5.a. a. Promoting the establishment and review of policies for schools related to the use of alcohol, tobacco and drugs.
DHS 75.04(4)(a)5.b. b. Providing technical assistance to communities to maximize local enforcement procedures governing availability and distribution of alcohol, tobacco and other drug use.
DHS 75.04(4)(a)5.c. c. Modifying alcohol and tobacco advertising practices.
DHS 75.04(4)(a)5.d. d. Supporting local enforcement procedures to limit violent behavior.
DHS 75.04(4)(a)5.e. e. Establishing policies that create opportunities for youth to become involved in their communities.
DHS 75.04(4)(a)6. 6. `Community-based process'. This strategy seeks to enhance the ability of the community to more effectively provide prevention, remediation and treatment services for behaviors that lead to intensive services. Activities under this strategy include organizing, planning, enhancing the efficiency and effectiveness of services implementation, interagency collaboration, coalition building and networking. Examples of activities that may be conducted and methods used in carrying out this strategy are the following:
DHS 75.04(4)(a)6.a. a. Community and volunteer training, such as neighborhood action training and training of key people in the system.
DHS 75.04(4)(a)6.b. b. Systematic planning in the above areas.
DHS 75.04(4)(a)6.c. c. Multi-agency coordination and collaboration.
DHS 75.04(4)(a)6.d. d. Facilitating access to services and funding.
DHS 75.04(4)(a)6.e. e. Community team-building.
DHS 75.04(4)(b) (b) Goals and objectives. A prevention service shall have written operational goals and objectives and shall specify in writing the methods by which they will be achieved and the target populations.
DHS 75.04(4)(c) (c) Documentation of coordination. A prevention service shall provide written documentation of coordination with other human service agencies, organizations or services that share similar goals.
DHS 75.04(4)(d) (d) Records. A prevention service shall maintain records on the number of individuals served by implementation of each prevention strategy and retain records as necessary for meeting certification and funding requirements.
DHS 75.04(5) (5) Prevention service evaluation.
DHS 75.04(5)(a) (a) A prevention service shall have an evaluation process that measures the outcomes of the services provided.
DHS 75.04(5)(b) (b) A prevention service shall evaluate the views of consumers about the service as they are provided and shall adjust goals and objectives accordingly.
DHS 75.04(5)(c) (c) A prevention service shall have a written policy and a defined process to provide individuals with the opportunity to express opinions regarding ongoing services, staff and the methods by which individual prevention activities are offered.
DHS 75.04 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; CR 09-109: am. (3) (a) and (b) Register May 2010 No. 653, eff. 6-1-10; correction in (3) (a), (b) made under s. 13.92 (4) (b) 6., Stats., Register November 2011 No. 671.
DHS 75.05 DHS 75.05Emergency outpatient service.
DHS 75.05(1)(1)Service description. An emergency outpatient service operates an emergency phone service and provides on-site crisis intervention to deal with all outpatient emergencies related to substance abuse, including socio-emotional crises, attempted suicide and family crises; provides the examination required under s. 51.45 (11) (c), Stats.; and, if needed, provides or arranges for transportation of a patient to the emergency room of a general hospital for medical treatment.
DHS 75.05(2) (2) Requirements. To receive certification from the department under this chapter, an emergency outpatient service shall comply with all requirements included in s. DHS 75.03 that apply to an emergency outpatient service, as shown in Table 75.03, and, in addition, an emergency outpatient service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.05(3) (3) Required personnel.
DHS 75.05(3)(a)(a) An emergency outpatient service shall have staff available who are capable of providing coverage for an emergency phone service and for providing on-site crisis intervention.
DHS 75.05(3)(b) (b) A service shall have a written plan for staffing the service and shall document that all of the following have been taken into consideration:
DHS 75.05(3)(b)1. 1. The nature of previously observed and anticipated emergencies and the probability of emergencies as related to geographical, seasonal, temporal and demographic factors.
DHS 75.05(3)(b)2. 2. The adequacy of the emergency communication system used by the service when consultation is required.
DHS 75.05(3)(b)3. 3. The types of emergency services to be provided.
DHS 75.05(3)(b)4. 4. The skills of staff members in providing emergency services.
DHS 75.05(3)(b)5. 5. Difficulty in contacting staff members.
DHS 75.05(3)(b)6. 6. The estimated travel time for a staff member to arrive at an emergency care facility or at the location of an emergency.
DHS 75.05(4) (4) Service operations.
DHS 75.05(4)(a)(a) An emergency outpatient service shall provide emergency telephone coverage 24 hours per day and 7 days a week, as follows:
DHS 75.05(4)(a)1. 1. The telephone number of the program shall be well-publicized.
DHS 75.05(4)(a)2. 2. A log shall be kept of all emergency calls as well as of calls requesting treatment information. For each call, the log shall describe all of the following:
DHS 75.05(4)(a)2.a. a. The purpose of the call.
DHS 75.05(4)(a)2.b. b. Caller identification information, if available.
DHS 75.05(4)(a)2.c. c. Time and date of call.
DHS 75.05(4)(a)2.d. d. Recommendations made.
DHS 75.05(4)(a)2.e. e. Other action taken.
DHS 75.05(4)(b) (b) A service shall have written procedures that ensure prompt evaluation of both the physiological and psychological status of the individual so that rapid determination can be made of the nature and urgency of the problem and of the type of treatment required.
DHS 75.05(4)(c) (c) A service shall have written procedures for dealing with anticipated medical and psychiatric complications of substance abuse emergencies.
DHS 75.05(4)(d) (d) A service shall either be able to provide medical support for substance abuse-related emergencies on-site or have the capability of transporting the individual to a local hospital or other recognized medical facility.
DHS 75.05(4)(e) (e) If the emergency outpatient service is not a part of a general hospital, the service shall enter into a formal agreement with a local hospital for the hospital to receive referrals from the service on a 24-hour basis and provide services with the same standards of care prevailing for emergency cases treated in the hospital that are not related to substance abuse.
DHS 75.05 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00.
DHS 75.06 DHS 75.06Medically managed inpatient detoxification service.
DHS 75.06(1)(1)Service description. A medically managed inpatient detoxification service provides 24-hour per day observation and monitoring of patients in a hospital setting, with round-the-clock nursing care, physician management and availability of all other resources of the hospital.
DHS 75.06(2) (2) Requirements. To receive certification from the department under this chapter, a medically managed inpatient detoxification service shall comply with all requirements included in s. DHS 75.03 that apply to a medically managed inpatient detoxification service, as shown in Table 75.03, and, in addition, a medically managed detoxification service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.06(3) (3) Required personnel.
DHS 75.06(3)(a)(a) A medically managed inpatient detoxification service shall have a staffing pattern that is consistent with s. DHS 124.13 requirements.
DHS 75.06(3)(b) (b) The service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.06(4) (4) Service operations.
DHS 75.06(4)(a)(a) A medically managed inpatient detoxification service shall have written agreements with certified substance abuse service providers or systems to provide rehabilitative substance abuse care if determined necessary by substance abuse screening and the application of approved patient placement criteria administered by the service.
DHS 75.06(4)(b) (b) A service shall have written policies and procedures for the management of belligerent and disturbed patients, which shall include transfer of patients to another appropriate facility if necessary.
DHS 75.06(4)(c) (c) A service shall develop with each patient a detoxification plan and a discharge plan for the patient that addresses the patient's follow-up service needs determined by application of approved patient placement criteria, and the provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.06 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) (a) made under s. 13.92 (4) (b) 7. Stats., Register November 2008 No. 635.
DHS 75.07 DHS 75.07Medically monitored residential detoxification service.
DHS 75.07(1)(1)Service description. A medically monitored residential detoxification service is a 24-hour per day service in a residential setting providing detoxification service and monitoring. Care is provided by a multi-disciplinary team of service personnel, including 24-hour nursing care under the supervision of a physician. Included is the provision of an 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.
DHS 75.07(2) (2) Requirements. To receive certification from the department under this chapter, a medically monitored residential detoxification service shall comply with all requirements included in s. DHS 75.03 that apply to a medically monitored detoxification service, as shown in Table 75.03, and, in addition, a medically monitored residential detoxification service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
DHS 75.07(3) (3) Organizational requirements. Before operating or expanding a medically monitored residential detoxification service, a facility shall be approved under ch. DHS 124 as a hospital or licensed under ch. DHS 83 as a community-based residential facility.
DHS 75.07(4) (4) Required personnel.
DHS 75.07(4)(a)(a) A medically monitored residential detoxification service shall ensure that a patient receives consultation from a substance abuse counselor before the patient is discharged from the service.
DHS 75.07(4)(b) (b) The service shall have a nursing director who is a registered nurse.
DHS 75.07(4)(c) (c) A registered nurse shall be available on site on a 24-hour basis.
DHS 75.07(4)(d) (d) A physician shall be available on site [on call] on a 24-hour basis.
DHS 75.07 Note Note: The department's intent is that physicians will be on call rather than on site.
DHS 75.07(5) (5) Service operations.
DHS 75.07(5)(a)(a) A physician shall review and document the medical status of a patient within 72 hours after admission.
DHS 75.07(5)(b) (b) A service shall have written policies and procedures for the management of belligerent and disturbed patients, which shall include transfer of a patient to another appropriate facility if necessary.
DHS 75.07(5)(c) (c) A service shall have a written agreement with certified substance abuse service providers or systems to provide care after the patient is discharged from the service.
DHS 75.07(5)(d) (d) A service shall have a written agreement with a hospital for the hospital to provide emergency medical services for patients and shall provide escort and transportation to the hospital. If necessary, the service shall also provide escort and transportation for return to the service.
DHS 75.07(5)(e) (e) The service shall develop with each patient a detoxification plan and a discharge plan for the patient that addresses the patient's follow-up service needs, determined from the application of approved patient placement criteria administered by the service, and shall include provision for referral, escort and transportation to other treatment services, as necessary, to ensure that continuity of care is provided.
DHS 75.07(5)(f) (f) A service shall have a treatment room that has in it at least the following:
DHS 75.07(5)(f)1. 1. First aid supplies maintained and readily available to all personnel responsible for the care of patients.
DHS 75.07(5)(f)2. 2. Separate locked cabinets exclusively for all pharmaceutical supplies.
DHS 75.07 History History: Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DHS 75.08 DHS 75.08Ambulatory detoxification service.
DHS 75.08(1)(1)Service description. An ambulatory detoxification service is a medically managed or monitored structured detoxification service on an outpatient basis, delivered by a physician or other service personnel acting under the supervision of a physician.
DHS 75.08(2) (2) Requirements. To receive certification from the department under this chapter, an ambulatory detoxification service shall comply with all requirements included in s. DHS 75.03 that apply to an ambulatory detoxification service, as shown in Table 75.03, and, in addition, an ambulatory detoxification service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03, the requirement in this section shall be followed.
Loading...
Loading...
Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.