AB100-engrossed,976,1120
51.05
(3m) Notwithstanding s. 20.903 (1), the department shall implement a
21plan that is approved by the department of administration to assure that
, before July
221, 1999, there are sufficient revenues, as projected by the department of health and
23family services, to cover anticipated expenditures
by that date under the
24appropriation under s. 20.435 (2) (gk) for the purpose of reimbursing the provision
25of care to patients of the Mendota mental health institute or the Winnebago mental
1health institute
and to ensure that the department complies with sub. (3g). The
2department of health and family services shall make reports to the department of
3administration every 3 months, beginning on October 1, 1993,
and ending on July
41, 1999, concerning the implementation of this plan.
The department of health and
5family services shall make reports to the joint committee on finance by December 31
6of each year that identify the change, during the preceding fiscal year, in the amount
7by which the accumulated expenses of providing care to patients of the mental health
8institutes exceed the accumulated revenues from providing that care; describe the
9actions taken by the department during the preceding fiscal year to reduce that
10amount; and describe the actions that the department is taking during the current
11year to reduce that amount.
AB100-engrossed,976,2113
51.05
(5) School activities. If an individual over the age of 2 and under the
14age of 22 and eligible for schooling under ss. 115.76 (2) and 115.85 is committed,
15admitted or transferred to or is a resident of the Mendota mental health institute or
16Winnebago mental health institute, the individual shall attend a school program
17operated by the applicable mental health institute or a school outside the applicable
18mental health institute which is approved by the department of
education public
19instruction. A school program operated by the Mendota mental health institute or
20Winnebago mental health institute shall be under the supervision of the department
21of
education public instruction and shall meet standards prescribed by that agency.
AB100-engrossed,976,23
2351.06 (title)
Centers Center for the developmentally disabled.
AB100-engrossed,977,7
151.06
(1) Purpose. (intro.) The purpose of
the northern any center for
the 2developmentally disabled
, central center for developmentally disabled and southern
3center for developmentally disabled is to provide services needed by developmentally
4disabled citizens of this state which are otherwise unavailable to them, and to return
5such those persons to the community when their needs can be met at the local level.
6Services to be provided by the department at
such centers a center for the
7developmentally disabled shall include
all of the following:
AB100-engrossed,977,139
51.06
(1) (d)
At the southern center for developmentally disabled, services 10Services for up to
10 22 individuals with developmental disability who are also
11diagnosed as mentally ill or who exhibit extremely aggressive and challenging
12behaviors
and at the northern center for developmentally disabled, services for up
13to 12 such individuals.
AB100-engrossed,977,2115
51.06
(2) School activities. If an individual over the age of 2 years and under
16the age of 22 years and eligible for schooling under ss. 115.76 (2) and 115.85 is
17admitted to, is placed in or is a resident of a center, the individual shall attend a
18school program operated by the center or a school outside the center which is
19approved by the department of
education public instruction. A school program
20operated by the center shall be under the supervision of the department of
education 21public instruction and shall meet standards prescribed by that agency.
AB100-engrossed,978,323
51.06
(3) Admission. Individuals An individual under the age of 22 years
shall 24may be placed only at
the central
a center for the developmentally disabled
unless 25that the department
authorizes has authorized for the placement of
the individual
1at the northern or southern center for the developmentally disabled individuals
2under the age of 22 years generally or at a center for the developmentally disabled
3that the department has authorized for the placement of that individual specifically.
AB100-engrossed,978,145
51.07
(3) The department may provide outpatient services only to patients
6contracted for with county departments under ss. 51.42 and 51.437 in accordance
7with s. 46.03 (18), except for those patients whom the department finds to be
8nonresidents of this state
and those patients specified in sub. (4) (a). The full and
9actual cost less applicable collections of
such services contracted for
with county
10departments under s. 51.42 or 51.437 shall be charged to the respective county
11department under s. 51.42 or 51.437. The state shall provide the services required
12for patient care only if no
such outpatient services are funded by the department in
13the county or group of counties served by the respective county department under s.
1451.42 or 51.437.
AB100-engrossed,978,2016
51.07
(4) (a) The department may provide outpatient services at the
17Winnebago Mental Health Institute to a patient who is a pupil of a school district that
18contracts with the department for the provision of those services. The department
19shall charge the full and actual cost of those services contracted for to the school
20district in which the patient is enrolled.
AB100-engrossed,978,2521
(b) If the Winnebago Mental Health Institute has provided a pupil of a school
22district with the services contracted for under par. (a), the department shall
23regularly bill the school district for the services provided and, subject to the
24provisions of the contract, the school district shall pay the amount due within 60 days
25after the billing date.
AB100-engrossed,979,2
1(c) The department shall credit any revenues received under this subsection
2to the appropriation account under s. 20.435 (2) (gk).
AB100-engrossed,979,94
51.13
(1) (a) Except as provided in s. 51.45 (2m), the application for voluntary
5admission of a minor
who is under 14 years of age to an approved inpatient treatment
6facility shall be executed by a parent who has legal custody of the minor or the
7minor's guardian. Any statement or conduct by a minor
under the age of 14 8indicating that the minor does not agree to admission to the facility shall be noted
9on the face of the application and shall be noted in the petition required by sub. (4).
AB100-engrossed,979,1712
51.13
(1) (d) A minor against whom a petition or statement has been filed under
13s. 51.15, 51.20 or 51.45 (12) or (13) may be admitted under this section. The court
14may permit the minor to become a voluntary patient pursuant to this section upon
15approval by the court of an application executed pursuant to par. (a)
, (b) or (c), and
16the judge shall then dismiss the proceedings under s. 51.15, 51.20 or 51.45. If a
17hearing is held under this subsection, no hearing under sub. (4) is required.
AB100-engrossed,980,419
51.13
(1) (e) A minor may be admitted immediately upon the approval of the
20application executed under par. (a)
or (b) by the treatment director of the facility or
21his or her designee or, in the case of a center for the developmentally disabled, the
22director of the center or his or her designee, and the director of the appropriate county
23department under s. 51.42 or 51.437 if such county department is to be responsible
24for the cost of the minor's therapy and treatment. Approval shall be based upon an
25informed professional opinion that the minor is in need of psychiatric services or
1services for developmental disability, alcoholism or drug abuse, that the treatment
2facility offers inpatient therapy or treatment which is appropriate for the minor's
3needs and that inpatient care in the facility is the least restrictive therapy or
4treatment consistent with the minor's needs.
AB100-engrossed,980,126
51.13
(2) (a) A minor may be admitted to an inpatient treatment facility
7without complying with the requirements of this section if the admission does not
8involve the department or a county department under s. 51.42 or 51.437, or a contract
9between a treatment facility and the department or between a treatment facility and
10a county department. The application for voluntary admission of a minor
who is 14
11years of age or over shall be executed by
the minor and a parent who has legal custody
12of the minor or the minor's guardian.
AB100-engrossed,980,2017
51.13
(3) (c) A minor
under 14 years of age and his or her parent or guardian
18shall also be informed by the director or his or her designee, both orally and in
19writing, in easily understandable language, of the minor's right to a hearing to
20determine continued appropriateness of the admission as provided in sub. (7).
AB100-engrossed,980,2522
51.13
(3) (e) Writing materials for use in requesting a hearing or discharge
23under this section shall be made available to minors at all times by every inpatient
24treatment facility. The staff of each such facility shall assist minors in preparing and
25submitting requests for
discharge or hearing hearings.
AB100-engrossed,981,92
51.13
(4) (a) (intro.) Within 3 days
of after the admission of a minor under sub.
3(1), or within 3 days
of after application for admission of the minor, whichever occurs
4first, the treatment director of the facility to which the minor is admitted or, in the
5case of a center for the developmentally disabled, the director of the center, shall file
6a verified petition for review of the admission in the court assigned to exercise
7jurisdiction under chs. 48 and 938 in the county in which the facility is located. A
8copy of the application for admission and of any relevant professional evaluations
9shall be attached to the petition. The petition shall contain all of the following:
AB100-engrossed,981,1211
51.13
(4) (c) A copy of the petition shall be provided by the petitioner to the
12minor and his or her parents or guardian within 5 days
of after admission.
AB100-engrossed,982,1014
51.13
(4) (d) Within 5 days
of after the filing of the petition, the court assigned
15to exercise jurisdiction under chs. 48 and 938 shall determine, based on the
16allegations of the petition and accompanying documents,
whether the admission is
17voluntary on the part of the minor if the minor is 14 years of age or older and whether
18there is a prima facie showing that the minor is in need of psychiatric services, or
19services for developmental disability, alcoholism or drug abuse, that the treatment
20facility offers inpatient therapy or treatment which is appropriate to the minor's
21needs, and that inpatient care in the treatment facility is the least restrictive therapy
22or treatment consistent with the needs of the minor. If such a showing is made, the
23court shall permit voluntary admission. If the court is unable to make
such those 24determinations based on the petition and accompanying documents,
it shall the
25court may dismiss the petition as provided in par. (h);
or order additional information
1to be produced as
it deems necessary
for the court to make
such review, and make
2such those determinations within 14 days
of after admission or application for
3admission, whichever is sooner; or
it may hold a hearing within 14 days
of after 4admission or application for admission, whichever is sooner. If a notation of the
5minor's unwillingness appears on the face of the petition, or if a hearing has been
6requested by the minor, the minor's counsel, parent or guardian, the court shall hold
7a hearing to review the admission within 14 days
of
after admission or application
8for admission, whichever is sooner, and shall appoint counsel to represent the minor
9if the minor is unrepresented. If the court
deems
considers it necessary,
it the court 10shall also appoint a guardian ad litem to represent the minor.
AB100-engrossed,983,312
51.13
(4) (g) (intro.) If the court finds that the minor is in need of psychiatric
13services
, or services for developmental disability, alcoholism or drug abuse in an
14inpatient facility
, and that the inpatient facility to which the minor is admitted offers
15therapy or treatment
which that is appropriate for the minor's needs and
which that 16is the least restrictive therapy or treatment consistent with the minor's needs
and, 17in the case of a minor aged 14 or older, the application is voluntary on the part of the
18minor, it, the court shall permit voluntary admission. If the court finds that the
19therapy or treatment in the inpatient facility to which the minor is admitted is not
20appropriate or is not the least restrictive therapy or treatment consistent with the
21minor's needs, the court may order placement in or transfer to another more
22appropriate or less restrictive inpatient facility, except that the court may not permit
23or order placement in or transfer to
the northern or southern centers a center for the
24developmentally disabled of a minor unless the department
gives approval for the
25placement or transfer has authorized that center for the developmentally disabled
1for the placement or transfer of minors generally or for the placement or transfer of
2that minor specifically, and if the order of the court is approved by all of the following
3if applicable:
AB100-engrossed,983,136
51.13
(6) (a) A minor may be admitted to an inpatient treatment facility
7without review of the application under sub. (4) for diagnosis and evaluation or for
8dental, medical or psychiatric services for a period not to exceed 12 days. The
9application for short-term admission of a minor shall be executed by the minor's
10parent or guardian
, and by the minor if he or she is 14 years of age or older. A minor
11may not be readmitted to an inpatient treatment facility for psychiatric services
12under this paragraph within 120 days
of after a previous admission under this
13paragraph.
AB100-engrossed,984,1017
51.13
(7) (title)
Continued appropriateness of admission. Any minor
under 14
18years of age who is voluntarily admitted under this section may submit a written
19request to the court for a hearing to determine the continued appropriateness of the
20admission. If the director or staff of the inpatient treatment facility to which a minor
21under the age of 14 is admitted observes conduct by the minor which demonstrates
22an unwillingness to remain at the facility, including
but not limited to a written
23expression of opinion or unauthorized absence, the director shall file a written
24request with the court to determine the continued appropriateness of the admission.
25A request
which that is made personally by a minor under this
paragraph subsection
1shall be signed by the minor but need not be written or composed by him or her. A
2request for a hearing under this
paragraph which
subsection that is received by staff
3or the director of the facility in which the child is admitted shall be filed with the court
4by the director. The court shall order a hearing upon request if no hearing concerning
5the minor's admission has been held within 120 days
of receipt of before the request
6is received. The court shall appoint counsel and, if the court
deems considers it
7necessary, a guardian ad litem to represent the minor
and if. If a hearing is held
, the
8court shall hold the hearing within 14 days
of
after the request, unless the parties
9agree to a longer period. After the hearing, the court shall
make disposition dispose 10of the matter in the manner provided in sub. (4).
AB100-engrossed,984,1612
51.14
(3) (a)
Either a A minor 14 years of age or older
or his or her parent or
13guardian may petition the mental health review officer in the county in which the
14parent or guardian has residence for a review of a refusal of
either the minor or his
15or her parent or guardian to provide the informed consent for outpatient mental
16health treatment required under s. 51.61 (6).
AB100-engrossed,984,1918
51.14
(3) (b) 3. The facts substantiating the
petitioner's minor's belief that
the
19minor he or she needs outpatient mental health treatment.
AB100-engrossed,984,2421
51.14
(3) (b) 4. Any available information which substantiates the
22appropriateness of the particular treatment sought
for
by the minor and that the
23particular treatment sought is the least restrictive treatment consistent with the
24needs of the minor.
AB100-engrossed,985,6
151.14
(3) (g) Within 21 days after the filing of a petition under this subsection,
2the mental health review officer shall hold a hearing on the refusal of the
minor or
3the minor's parent or guardian to provide informed consent for outpatient treatment.
4The mental health review officer shall provide notice of the date, time and place of
5the hearing to the minor and the minor's parent or guardian at least 96 hours prior
6to the hearing.
AB100-engrossed,985,158
51.14
(3) (h) (intro.) If following the hearing under par. (g) and after taking into
9consideration the recommendations, if any, of the county department under s. 51.42
10or 51.437 made under par. (e), the mental health review officer finds all of the
11following, he or she shall issue a written order that, notwithstanding the written,
12informed consent requirement of s. 51.61 (6),
the written, informed consent of the
13minor, if the minor is refusing to provide consent, or the written, informed consent
14of the minor's parent or guardian
, if the parent or guardian is refusing to provide
15consent, is not required for outpatient mental health treatment for the minor:
AB100-engrossed,985,2317
51.14
(4) (a) Within 21 days after the issuance of the order by the mental health
18review officer under sub. (3) or if the requirements of sub. (3) (f) are satisfied, the
19minor or his or her parent or guardian may petition a court assigned to exercise
20jurisdiction under
ch. chs. 48
and 938 in the county of residence of the minor's parent
21or guardian for a review of the refusal of
either the minor or his or her the parent or
22guardian to provide the informed consent for outpatient mental health treatment
23required under s. 51.61 (6).
AB100-engrossed,986,3
151.14
(4) (b) The petition in par. (a) shall conform to the requirements set forth
2in sub. (3) (b).
If the minor has refused to provide informed consent, a notation of this
3fact shall be made on the face of the petition.
AB100-engrossed,986,115
51.14
(4) (c)
If a notation of a minor's refusal to provide informed consent to
6outpatient mental health treatment appears on the petition, the court shall, at least
77 days prior to the time scheduled for the hearing, appoint counsel to represent the
8minor if the minor is unrepresented. If the minor's parent or guardian has refused
9to provide informed consent and the minor is unrepresented, the court shall appoint
10counsel to represent the minor, if requested by the minor or determined by the court
11to be in the best interests of the minor.
AB100-engrossed,986,1913
51.14
(4) (g) (intro.) After the hearing under this subsection, the court shall
14issue a written order stating that, notwithstanding the written, informed consent
15requirement of s. 51.61 (6),
the written, informed consent of the minor, if the minor
16refuses to provide consent, or the written, informed consent of the parent or
17guardian
, if the parent or guardian refuses to provide consent, is not required for
18outpatient mental health treatment for the minor if the court finds all of the
19following:
AB100-engrossed,987,321
51.20
(13) (c) 1. The court shall designate the facility or service which is to
22receive the subject individual into the mental health system, except that, if the
23subject individual is under the age of 22 years and the facility is a center for the
24developmentally disabled, the court
shall may designate only
the central a center for
25the developmentally disabled
unless that the department
authorizes designation of
1the northern or southern center has authorize for the placement of individuals under
2the age of 22 years generally or a center for the developmentally disabled
that the
3department has authorized for the placement of that individual specifically;
AB100-engrossed,987,145
51.20
(13) (c) 2. The county department under s. 51.42 or 51.437 shall arrange
6for treatment in the least restrictive manner consistent with the requirements of the
7subject individual in accordance with a court order designating the maximum level
8of inpatient facility, if any, which may be used for treatment, except that, if the
9subject individual is under the age of 22 years and the facility is a center for the
10developmentally disabled, designation shall be only to
the central a center for the
11developmentally disabled
unless that the department
authorizes has authorized for 12the placement of
the individual at the northern or southern individuals under the
13age of 22 years generally or to a center for the developmentally disabled
that the
14department has authorized for the placement of that individual specifically; and
AB100-engrossed,988,616
51.20
(13) (f) The county department under s. 51.42 or 51.437 which receives
17an individual who is committed by a court under par. (a) 3. is authorized to place such
18individual in an approved treatment facility subject to any limitations which are
19specified by the court under par. (c) 2. The county department shall place the subject
20individual in the treatment program and treatment facility which is least restrictive
21of the individual's personal liberty, consistent with the treatment requirements of
22the individual. The county department shall have ongoing responsibility to review
23the individual's needs, in accordance with sub. (17), and transfer the person to the
24least restrictive program consistent with the individual's needs. If the subject
25individual is under the age of 22 years and if the facility appropriate for placement
1or transfer is a center for the developmentally disabled, placement or transfer of the
2individual
shall may be made only to
the central a center for the developmentally
3disabled
unless that the department
authorizes has authorized for the placement or
4transfer
to the northern or southern of individuals under the age of 22 years
5generally or to a center for the developmentally disabled
that the department has
6authorized for the placement or transfer of that individual specifically.
AB100-engrossed,988,138
51.20
(16) (a) Except in the case of alcoholic commitments under s. 51.45 (13),
9any patient who is involuntarily committed for treatment under this chapter, may
10on the patient's own verified petition, except in the case of a minor
who is under 14
11years of age, or on the verified petition of the patient's guardian, relative, friend, or
12any person providing treatment under the order of commitment, request a
13reexamination or request the court to modify or cancel an order of commitment.
AB100-engrossed,988,2115
51.22
(2) Voluntary Except as provided in s. 51.13 (2), voluntary admissions
16under ss. 51.10, 51.13 and 51.45 (10) shall be through the county department under
17s. 51.42 or 51.437 serving the person's county of residence, or through the
18department if the person to be admitted is a nonresident of this state. Admissions
19through a county department under s. 51.42 or 51.437 shall be made in accordance
20with s. 51.42 (3) (as) 1. or 51.437 (4rm) (a). Admissions through the department shall
21be made in accordance with sub. (3).
AB100-engrossed,989,423
51.30
(5) (a)
Consent for release of information. The parent, guardian, or person
24in the place of a parent of a minor or the guardian of an adult adjudged incompetent
25under ch. 880 may consent to the release of confidential information in court or
1treatment records.
A minor who is aged 14 or more may consent to the release of
2confidential information in court or treatment records without the consent of the
3minor's parent, guardian or person in the place of a parent. Consent under this
4paragraph must conform to the requirements of sub. (2).
AB100-engrossed,989,136
51.30
(5) (b) 1. The guardian of an individual who is adjudged incompetent
7under ch. 880 shall have access to the individual's court and treatment records at all
8times. The parent, guardian or person in the place of a parent of a developmentally
9disabled minor shall have access to the minor's court and treatment records at all
10times
except in the case of a minor aged 14 or older who files a written objection to
11such access with the custodian of the records. The parent, guardian or person in the
12place of a parent of other minors shall have the same rights of access as provided to
13subject individuals under this section.
AB100-engrossed,989,2015
51.30
(5) (b) 2.
A minor upon reaching the age of 14 shall have access to his or
16her own court and treatment records, as provided in this section. A minor
under the
17age of 14 shall have access to court records but only in the presence of parent,
18guardian, counsel, guardian ad litem or judge and shall have access to treatment
19records as provided in this section but only in the presence of parent, guardian,
20counsel, guardian ad litem or staff member of the treatment facility.
AB100-engrossed,990,322
51.35
(1) (bm) Notwithstanding par. (b), transfer of a patient under the age of
2322 years to a center for the developmentally disabled may be made only to
the central 24a center for the developmentally disabled
unless that the department
authorizes the
25transfer of the patient to the northern or southern has authorized for the transfer of
1patients under the age of 22 years generally or to a center for the developmentally
2disabled
that the department has authorized for the transfer of that patient
3specifically.
AB100-engrossed,990,245
51.35
(3) (a) A licensed psychologist of a juvenile correctional facility or a
6secured child caring institution, as defined in s. 938.02 (15g), or a licensed physician
7of the department of corrections, who has reason to believe that any individual
8confined in the facility or institution is, in his or her opinion, in need of services for
9developmental disability, alcoholism or drug dependency or in need of psychiatric
10services, and who has obtained voluntary consent to make a transfer for treatment,
11shall make a report, in writing, to the superintendent of the facility or institution,
12stating the nature and basis of the belief and verifying the consent. In the case of
13a minor
age 14 and over, the minor and, the minor's parent or guardian shall consent
14unless the minor is admitted under s. 51.13 (1) (c)
; and in the case of a minor under
15the age of 14, only the minor's parent or guardian need consent. The superintendent
16shall inform, orally and in writing, the minor and the minor's parent or guardian,
17that transfer is being considered and shall inform them of the basis for the request
18and their rights as provided in s. 51.13 (3). If the department of corrections, upon
19review of a request for transfer, determines that transfer is appropriate, that
20department shall immediately notify the department of health and family services
21and, if the department of health and family services consents, the department of
22corrections may immediately transfer the individual. The department of corrections
23shall file a petition under s. 51.13 (4) (a) in the court assigned to exercise jurisdiction
24under chs. 48 and 938 of the county where the treatment facility is located.
AB100-engrossed,991,17
151.35
(3) (b) The court assigned to exercise jurisdiction under chs. 48 and 938
2shall determine, based on the allegations of the petition and accompanying
3documents,
whether the transfer is voluntary on the part of the minor if he or she is
4aged 14 or over, and whether the transfer of the minor to an inpatient facility is
5appropriate and consistent with the needs of the minor.
In the event that If the court
6is unable to make
such determinations that determination based on the petition and
7accompanying documents,
it shall the court may order additional information to be
8produced as
it deems necessary
for the court to make
such review, and make such
9determinations the determination within 14 days
of after admission, or
it the court 10may hold a hearing within 14 days
of after admission. If a notation of the minor's
11unwillingness appears on the face of the petition, or
that if a hearing has been
12requested by the minor, the minor's counsel, guardian ad litem, parent or guardian,
13the court shall hold a hearing and appoint counsel or a guardian ad litem for the
14minor as provided in s. 51.13 (4) (d). At the conclusion of the hearing, the court shall
15approve or disapprove the request for transfer. If the minor is under the continuing
16jurisdiction of the court of another county, the court may order the case transferred
17together with all appropriate records to that court.