Note: Requires the DHFS to promulgate rules that require community-based
residential facilities, nursing homes, adult family homes, and residential care apartment
complexes to provide DHFS information necessary for DHFS to determine if those
facilities are in compliance with the provisions relating to involuntary administration of
psychotropic medication created by the bill.
AB785, s. 32 12Section 32. 50.03 (5m) (c) of the statutes is amended to read:
AB785,37,413 50.03 (5m) (c) Relocation. The department shall offer removal and relocation
14assistance to residents removed under this section, including information on
15available alternative placements. Residents shall be involved in planning the
16removal and shall choose among the available alternative placements, except that
17where an emergency situation makes prior resident involvement impossible the
18department may make a temporary placement until a final placement can be
19arranged. Residents may choose their final alternative placement and shall be given
20assistance in transferring to such place. No resident may be forced to remain in a

1temporary or permanent placement except pursuant to the procedures provided
2under s. 55.06, 2003 stats., or an order under s. 55.12 for protective placement. Where
3the department makes or participates in making the relocation decision,
4consideration shall be given to proximity to residents' relatives and friends.
AB785, s. 33 5Section 33. 50.06 (2) (c) of the statutes is amended to read:
AB785,37,86 50.06 (2) (c) A petition for guardianship for the individual under s. 880.07 and
7a petition under s. 55.075 for protective placement of the individual under s. 55.06
8(2)
are filed prior to the proposed admission.
Note: Changes a cross-reference to the petition for protective placement, the
provisions of which are renumbered in the draft.
AB785, s. 34 9Section 34. 50.06 (2) (d) of the statutes is created to read:
AB785,37,1710 50.06 (2) (d) The incapacitated individual does not verbally object to or
11otherwise actively protest the admission. If he or she makes such an objection or
12protest, he or she may be admitted to the facility, but the person in charge of the
13facility shall immediately notify the county department under s. 55.02 (2) for the
14county in which the individual is living or the agency with which the county
15department contracts. Representatives of the county department or agency shall
16visit the individual as soon as possible, but not later than 72 hours after notification,
17and do all of the following:
AB785,37,2018 1. Determine whether the protest persists or has been voluntarily withdrawn
19and consult with the person who consented to the admission regarding the reasons
20for the admission.
AB785,38,221 2. Attempt to have the incapacitated individual released within 72 hours if the
22protest is not withdrawn and the individual does not satisfy all of the criteria under

1s. 55.08 (1) or 55.135 (1), and provide assistance in identifying appropriate
2alternative living arrangements.
AB785,38,73 3. Comply with s. 55.135 if the requirements of s. 55.135 (1) are met and
4emergency protective placement in that facility or another facility is necessary or file
5a petition for protective placement under s. 55.075. The court, with the permission
6of the facility, may order the incapacitated individual to remain in the facility
7pending the outcome of the protective placement proceedings.
Note: Creates a new provision in the statute relating to admissions of
incapacitated persons to facilities such as nursing homes and community-based
residential facilities. Currently, such admissions directly from a hospital to a facility may
be made if certain specified persons consent to the admission, if the incapacitated person
does not have a valid power of attorney for health care and has not been adjudicated
incompetent under ch. 880, if certain conditions apply. This Section adds another
condition, which requires that the incapacitated individual does not verbally object to or
otherwise actively protest the admission. This Section also sets out what procedure must
be followed if the person objects to or protests the admission.
AB785, s. 35 8Section 35 . 51.01 (2g) (b) of the statutes is amended to read:
AB785,38,119 51.01 (2g) (b) "Brain injury" does not include alcoholism, Alzheimer's disease
10as specified under s. 46.87 (1) (a) or the infirmities of aging degenerative brain
11disorder,
as specified under s. 55.01 (3) defined in s. 55.01 (1v).
AB785, s. 36 12Section 36. 51.01 (3g) of the statutes is renumbered 51.01 (14t) and amended
13to read:
AB785,39,414 51.01 (14t) "Chronic Serious and persistent mental illness" means a mental
15illness which that is severe in degree and persistent in duration, which that causes
16a substantially diminished level of functioning in the primary aspects of daily living
17and an inability to cope with the ordinary demands of life, which that may lead to
18an inability to maintain stable adjustment and independent functioning without
19long-term treatment and support, and which that may be of lifelong duration.
20"Chronic Serious and persistent mental illness" includes schizophrenia as well as a

1wide spectrum of psychotic and other severely disabling psychiatric diagnostic
2categories, but does not include infirmities of aging degenerative brain disorder, as
3defined in s. 55.01 (1v),
or a primary diagnosis of mental retardation a developmental
4disability
or of alcohol or drug dependence.
AB785, s. 37 5Section 37. 51.01 (3s) of the statutes is amended to read:
AB785,39,106 51.01 (3s) "Community support program" means a coordinated care and
7treatment system which that provides a network of services through an identified
8treatment program and staff to ensure ongoing therapeutic involvement and
9individualized treatment in the community for persons individuals with chronic
10serious and persistent mental illness.
AB785, s. 38 11Section 38 . 51.01 (5) (a) of the statutes is amended to read:
AB785,39,1912 51.01 (5) (a) "Developmental disability" means a disability attributable to
13brain injury, cerebral palsy, epilepsy, autism, Prader-Willi syndrome, mental
14retardation, or another neurological condition closely related to mental retardation
15or requiring treatment similar to that required for mental retardation, which has
16continued or can be expected to continue indefinitely and constitutes a substantial
17handicap to the afflicted individual. "Developmental disability" does not include
18senility which that is primarily caused by the process of aging or the infirmities of
19aging
degenerative brain disorder, as defined in s. 55.01 (1v).
Note: Sections 35 to 38 revise the terms "chronic mental illness", "mental
retardation", and "infirmities of aging" to "serious and persistent mental illness",
"developmental disability", and "degenerative brain disorder".
AB785, s. 39 20Section 39. 51.03 (3) (a) 6. of the statutes is amended to read:
AB785,39,2221 51.03 (3) (a) 6. The number of persons individuals for whom guardians are
22appointed under s. 55.14 or s. 880.33 (4m), 2003 stats.
AB785, s. 40 23Section 40. 51.10 (4m) (a) (intro.) of the statutes is amended to read:
AB785,40,3
151.10 (4m) (a) (intro.) An adult who meets the criteria for voluntary admission
2under sub. (4) and whose admission is approved under sub. (1) or (2) may also be
3admitted to an inpatient treatment facility if:
Note: Deletes the requirement that the voluntary admission of an adult to an
inpatient treatment facility who does not indicate a desire to leave the facility be
approved by the treatment director of the treatment facility or the director of a center for
the developmentally disabled and the county department.
AB785, s. 41 4Section 41. 51.10 (8) of the statutes is amended to read:
AB785,40,95 51.10 (8) An adult for whom, because of incompetency, a guardian of the person
6has been appointed under ch. 880 because of the subject's incompetency may be
7voluntarily admitted to an inpatient treatment facility under this section only if the
8guardian consents after the requirements of sub. (4m) (a) 1. are satisfied or if the
9guardian
and the ward consent to such the admission under this section.
Note: Provides that the guardian of an incompetent adult may provide consent to
the voluntary admission of the ward to an inpatient treatment facility, in cases where the
ward does not indicate a desire to leave the facility, if the procedures for voluntary
admission in ch. 51 are followed.
AB785, s. 42 10Section 42 . 51.15 (1) (a) 4. of the statutes is amended to read:
AB785,41,911 51.15 (1) (a) 4. Behavior manifested by a recent act or omission that, due to
12mental illness or drug dependency, he or she is unable to satisfy basic needs for
13nourishment, medical care, shelter, or safety without prompt and adequate
14treatment so that a substantial probability exists that death, serious physical injury,
15serious physical debilitation, or serious physical disease will imminently ensue
16unless the individual receives prompt and adequate treatment for this mental illness
17or drug dependency. No substantial probability of harm under this subdivision exists
18if reasonable provision for the individual's treatment and protection is available in
19the community and there is a reasonable probability that the individual will avail
20himself or herself of these services, if the individual can receive protective placement

1under s. 55.06
may be provided protective placement or protective services under ch.
255,
or, in the case of a minor, if the individual is appropriate for services or placement
3under s. 48.13 (4) or (11) or 938.13 (4). The individual's status as a minor does not
4automatically establish a substantial probability of death, serious physical injury,
5serious physical debilitation or serious disease under this subdivision. Food, shelter
6or other care provided to an individual who is substantially incapable of providing
7the care for himself or herself, by any person other than a treatment facility, does not
8constitute reasonable provision for the individual's treatment or protection available
9in the community under this subdivision.
AB785, s. 43 10Section 43. 51.15 (5) of the statutes is amended to read:
AB785,42,511 51.15 (5) Detention procedure; other counties. In counties having a
12population of less than 500,000, the law enforcement officer or other person
13authorized to take a child into custody under ch. 48 or to take a juvenile into custody
14under ch. 938 shall sign a statement of emergency detention that shall provide
15detailed specific information concerning the recent overt act, attempt, or threat to
16act or omission on which the belief under sub. (1) is based and the names of persons
17observing or reporting the recent overt act, attempt, or threat to act or omission. The
18law enforcement officer or other person is not required to designate in the statement
19whether the subject individual is mentally ill, developmentally disabled, or drug
20dependent, but shall allege that he or she has cause to believe that the individual
21evidences one or more of these conditions. The statement of emergency detention
22shall be filed by the officer or other person with the detention facility at the time of
23admission, and with the court immediately thereafter. The filing of the statement
24has the same effect as a petition for commitment under s. 51.20. When, upon the
25advice of the treatment staff, the director of a facility specified in sub. (2) determines

1that the grounds for detention no longer exist, he or she shall discharge the
2individual detained under this section. Unless a hearing is held under s. 51.20 (7)
3or 55.06 (11) (b) 55.135, the subject individual may not be detained by the law
4enforcement officer or other person and the facility for more than a total of 72 hours,
5exclusive of Saturdays, Sundays, and legal holidays.
AB785, s. 44 6Section 44 . 51.20 (1) (a) 2. c. of the statutes is amended to read:
AB785,42,217 51.20 (1) (a) 2. c. Evidences such impaired judgment, manifested by evidence
8of a pattern of recent acts or omissions, that there is a substantial probability of
9physical impairment or injury to himself or herself. The probability of physical
10impairment or injury is not substantial under this subd. 2. c. if reasonable provision
11for the subject individual's protection is available in the community and there is a
12reasonable probability that the individual will avail himself or herself of these
13services, if the individual is appropriate for protective placement under s. 55.06 may
14be provided protective placement or protective services under ch. 55,
or, in the case
15of a minor, if the individual is appropriate for services or placement under s. 48.13
16(4) or (11) or 938.13 (4). The subject individual's status as a minor does not
17automatically establish a substantial probability of physical impairment or injury
18under this subd. 2. c. Food, shelter or other care provided to an individual who is
19substantially incapable of obtaining the care for himself or herself, by a person other
20than a treatment facility, does not constitute reasonable provision for the subject
21individual's protection available in the community under this subd. 2. c.
AB785, s. 45 22Section 45. 51.20 (1) (a) 2. d. of the statutes is amended to read:
AB785,43,1623 51.20 (1) (a) 2. d. Evidences behavior manifested by recent acts or omissions
24that, due to mental illness, he or she is unable to satisfy basic needs for nourishment,
25medical care, shelter or safety without prompt and adequate treatment so that a

1substantial probability exists that death, serious physical injury, serious physical
2debilitation, or serious physical disease will imminently ensue unless the individual
3receives prompt and adequate treatment for this mental illness. No substantial
4probability of harm under this subd. 2. d. exists if reasonable provision for the
5individual's treatment and protection is available in the community and there is a
6reasonable probability that the individual will avail himself or herself of these
7services, if the individual is appropriate for protective placement under s. 55.06 may
8be provided protective placement or protective services under ch. 55,
or, in the case
9of a minor, if the individual is appropriate for services or placement under s. 48.13
10(4) or (11) or 938.13 (4). The individual's status as a minor does not automatically
11establish a substantial probability of death, serious physical injury, serious physical
12debilitation or serious disease under this subd. 2. d. Food, shelter or other care
13provided to an individual who is substantially incapable of obtaining the care for
14himself or herself, by any person other than a treatment facility, does not constitute
15reasonable provision for the individual's treatment or protection available in the
16community under this subd. 2. d.
AB785, s. 46 17Section 46. 51.20 (1) (a) 2. e. of the statutes is amended to read:
AB785,44,2018 51.20 (1) (a) 2. e. For an individual, other than an individual who is alleged to
19be drug dependent or developmentally disabled, after the advantages and
20disadvantages of and alternatives to accepting a particular medication or treatment
21have been explained to him or her and because of mental illness, evidences either
22incapability of expressing an understanding of the advantages and disadvantages of
23accepting medication or treatment and the alternatives, or substantial incapability
24of applying an understanding of the advantages, disadvantages, and alternatives to
25his or her mental illness in order to make an informed choice as to whether to accept

1or refuse medication or treatment; and evidences a substantial probability, as
2demonstrated by both the individual's treatment history and his or her recent acts
3or omissions, that the individual needs care or treatment to prevent further
4disability or deterioration and a substantial probability that he or she will, if left
5untreated, lack services necessary for his or her health or safety and suffer severe
6mental, emotional, or physical harm that will result in the loss of the individual's
7ability to function independently in the community or the loss of cognitive or
8volitional control over his or her thoughts or actions. The probability of suffering
9severe mental, emotional, or physical harm is not substantial under this subd. 2. e.
10if reasonable provision for the individual's care or treatment is available in the
11community and there is a reasonable probability that the individual will avail
12himself or herself of these services or if the individual is appropriate for protective
13placement under s. 55.06
may be provided protective placement or protective
14services under ch. 55
. Food, shelter, or other care that is provided to an individual
15who is substantially incapable of obtaining food, shelter, or other care for himself or
16herself by any person other than a treatment facility does not constitute reasonable
17provision for the individual's care or treatment in the community under this subd.
182. e. The individual's status as a minor does not automatically establish a substantial
19probability of suffering severe mental, emotional, or physical harm under this subd.
202. e.
AB785, s. 47 21Section 47. 51.20 (1) (am) of the statutes is amended to read:
AB785,45,2122 51.20 (1) (am) If the individual has been the subject of inpatient treatment for
23mental illness, developmental disability, or drug dependency immediately prior to
24commencement of the proceedings as a result of a voluntary admission or, a
25commitment or protective placement ordered by a court under this section or s. 55.06,

12003 stats.,
or s. 971.17 , or ch. 975, or a protective placement or protective services
2ordered under s. 55.12,
or if the individual has been the subject of outpatient
3treatment for mental illness, developmental disability, or drug dependency
4immediately prior to commencement of the proceedings as a result of a commitment
5ordered by a court under this section or, s. 971.17, or ch. 975, the requirements of a
6recent overt act, attempt or threat to act under par. (a) 2. a. or b., a pattern of recent
7acts or omissions under par. (a) 2. c. or e., or recent behavior under par. (a) 2. d. may
8be satisfied by a showing that there is a substantial likelihood, based on the subject
9individual's treatment record, that the individual would be a proper subject for
10commitment if treatment were withdrawn. If the individual has been admitted
11voluntarily to an inpatient treatment facility for not more than 30 days prior to the
12commencement of the proceedings and remains under voluntary admission at the
13time of commencement, the requirements of a specific recent overt act, attempt or
14threat to act, or pattern of recent acts or omissions may be satisfied by a showing of
15an act, attempt or threat to act, or a pattern of acts or omissions which took place
16immediately previous to the voluntary admission. If the individual is committed
17under s. 971.14 (2) or (5) at the time proceedings are commenced, or has been
18discharged from the commitment immediately prior to the commencement of
19proceedings, acts, attempts, threats, omissions, or behavior of the subject individual
20during or subsequent to the time of the offense shall be deemed recent for purposes
21of par. (a) 2.
AB785, s. 48 22Section 48 . 51.20 (1m) of the statutes is amended to read:
AB785,46,1423 51.20 (1m) Alternate grounds for commitment. For purposes of subs. (2) to
24(9), the requirement of finding probable cause to believe the allegations in sub. (1)
25(a) or (am) may be satisfied by finding probable cause to believe that the individual

1satisfies sub. (1) (a) 1. and evidences such impaired judgment, manifested by
2evidence of a recent act or omission, that there is a substantial probability of physical
3impairment or injury to himself or herself. The probability of physical impairment
4or injury may not be deemed substantial under this subsection if reasonable
5provision for the individual's protection is available in the community and there is
6a reasonable probability that the individual will avail himself or herself of the
7services or if the individual is appropriate for protective placement under s. 55.06
8may be provided protective placement or protective services under ch. 55. The
9individual's status as a minor does not automatically establish a substantial
10probability of physical impairment or injury under this subsection. Food, shelter or
11other care provided to an individual who is substantially incapable of obtaining the
12care for himself or herself, by any person other than a treatment facility, does not
13constitute reasonable provision for the individual's protection available in the
14community under this subsection.
Note: Sections 42 and 44 to 48 amend various standards in current law relating
to emergency detention and involuntary commitment for treatment, by providing that a
showing of a substantial probability of harm to the person does not exist if the person may
be provided protective placement or protective services under ch. 55.
AB785, s. 49 15Section 49 . 51.20 (7) (d) 1. (intro.) of the statutes is amended to read:
AB785,47,1016 51.20 (7) (d) 1. (intro.) If the court determines after hearing that there is
17probable cause to believe that the subject individual is a fit subject for guardianship
18and protective placement or services, the court may, without further notice, appoint
19a temporary guardian for the subject individual and order temporary protective
20placement or services under ch. 55 for a period not to exceed 30 days, and shall
21proceed as if petition had been made for guardianship and protective placement or
22services. If the court orders only temporary protective services for a subject
23individual under this paragraph, the individual shall be provided care only on an

1outpatient basis. The court may order psychotropic medication as a temporary
2protective service under this paragraph if it finds that there is probable cause to
3believe that the allegations under s. 880.07 (1m) (c) and (cm) 55.14 (3) (e) apply, that
4the individual is not competent to refuse psychotropic medication and that the
5medication ordered will have therapeutic value and will not unreasonably impair the
6ability of the individual to prepare for and participate in subsequent legal
7proceedings. An individual is not competent to refuse psychotropic medication if,
8because of chronic serious and persistent mental illness, and after the advantages
9and disadvantages of and alternatives to accepting the particular psychotropic
10medication have been explained to the individual, one of the following is true:
AB785, s. 50 11Section 50. 51.20 (7) (d) 1. b. of the statutes is amended to read:
AB785,47,1512 51.20 (7) (d) 1. b. The individual is substantially incapable of applying an
13understanding of the advantages, disadvantages and alternatives to his or her
14chronic serious and persistent mental illness in order to make an informed choice as
15to whether to accept or refuse psychotropic medication.
AB785, s. 51 16Section 51 . 51.35 (4m) (intro.) of the statutes is amended to read:
AB785,47,2317 51.35 (4m) Transfer or discharge of persons with chronic serious and
18persistent
mental illness. (intro.) The department or county department under s.
1951.42 or any person authorized to discharge or transfer patients under this section
20shall, prior to the discharge of a patient with chronic serious and persistent mental
21illness from an inpatient facility, or prior to the transfer of a patient with chronic
22serious and persistent mental illness from inpatient to outpatient status, with the
23patient's permission if the patient is a voluntary patient, do all of the following:
Note: Sections 49 to 51 revise the term "chronic mental illness" to "serious and
persistent mental illness".
AB785, s. 52
1Section 52. 51.39 of the statutes is amended to read:
AB785,48,10 251.39 Resident patients on unauthorized absence. If any patient who is
3admitted, transferred, or placed under s. 55.06, 2003 stats., or s. 51.13, 51.15, 51.20,
451.35 (3), 51.37, or 51.45 (11) (b), (12) or (13) or 55.06 or ch. 55, 971, 975, or 980 or
5transferred under s. 51.35 (3) or 51.37
is on unauthorized absence from a treatment
6facility, the sheriff or any other law enforcement agency in the county in which the
7patient is found or in which it is believed the patient may be present, upon the
8request of the director, shall take charge of and return the patient to the facility. The
9costs incident to the return shall be paid out of the facility's operating funds and be
10charged back to the patient's county of residence.
Note: Changes various cross-references regarding protective placement and
transfer of a person who is protectively placed.
AB785, s. 53 11Section 53. 51.40 (2) (intro.) of the statutes is amended to read:
AB785,48,1612 51.40 (2) Determination of residence. (intro.) For purposes of determining
13responsibility for funding the provision of services under chs. 46, 51 and 55, the
14county of residence of individuals aged 18 or older with developmental disability or
15chronic serious and persistent mental illness in state facilities or nursing homes
16shall be determined as follows:
Note: Revises the term "chronic mental illness" to "serious and persistent mental
illness".
AB785, s. 54 17Section 54. 51.40 (2) (a) 1. of the statutes is amended to read:
AB785,49,218 51.40 (2) (a) 1. `Commitment or protection protective placement.' If an
19individual is under a court order of commitment under this chapter or protective
20placement under s. 55.06, 2003 stats., or s. 55.12, the individual remains a resident
21of the county in which he or she has residence at the time the commitment or

1protective placement is made. If the court makes no specific finding of a county of
2residence, the individual is a resident of the county in which the court is located.
Note: Changes a cross-reference to the procedure for protective placement, the
provisions of which are renumbered in this bill.
AB785, s. 55 3Section 55. 51.40 (2) (a) 2. of the statutes is amended to read:
AB785,49,114 51.40 (2) (a) 2. `Placement by a county.' Except for the provision of emergency
5services under s. 51.15, 51.42 (1) (b), 51.437 (4) (c), or 51.45 (11) and (12), emergency
6protective services under s. 55.13,
or 55.06 (11) emergency protective placement
7under s. 55.135
, if a county department or an agency of a county department
8arranges or makes placement of the individual into a state facility or nursing home,
9the individual is a resident of the county of that county department. Any agency of
10the county department is deemed to be acting on behalf of the county department in
11arranging or making placement.
Note: Changes a cross-reference to emergency protective placement, the
provisions of which are renumbered in this bill.
AB785, s. 56 12Section 56. 51.42 (1) (b) of the statutes is amended to read:
AB785,50,1113 51.42 (1) (b) County liability. The county board of supervisors has the primary
14responsibility for the well-being, treatment and care of the mentally ill,
15developmentally disabled, alcoholic and other drug dependent citizens residing
16within its county and for ensuring that those individuals in need of such emergency
17services found within its county receive immediate emergency services. This
18primary responsibility is limited to the programs, services and resources that the
19county board of supervisors is reasonably able to provide within the limits of
20available state and federal funds and of county funds required to be appropriated to
21match state funds. County liability for care and services purchased through or
22provided by a county department of community programs established under this

1section shall be based upon the client's county of residence except for emergency
2services for which liability shall be placed with the county in which the individual
3is found. For the purpose of establishing county liability, "emergency services"
4includes those services provided under the authority of s. 55.05 (4), 2003 stats., or
5s. 55.06 (11) (a), 2003 stats., or
s. 51.15, 51.45 (11) (a) or (b) or (12), 55.05 (4) or 55.06
6(11) (a)
55.13, or 55.135 for not more than 72 hours. Nothing in this paragraph
7prevents recovery of liability under s. 46.10 or any other statute creating liability
8upon the individual receiving a service or any other designated responsible party, or
9prevents reimbursement by the department of health and family services for the
10actual cost of all care and services from the appropriation under s. 20.435 (7) (da),
11as provided in s. 51.22 (3).
Note: Changes cross-references to emergency protective services, the provisions
of which are renumbered in this bill.
AB785, s. 57 12Section 57. 51.42 (3) (ar) 4. d. of the statutes is amended to read:
AB785,50,2213 51.42 (3) (ar) 4. d. Related research and staff in-service training, including
14periodic training on emergency detention procedures under s. 51.15 , emergency
15protective services under s. 55.13,
and emergency protective placement procedures
16under s. 55.06 (11) 55.135, for individuals persons within the jurisdiction of the
17county department of community programs who are authorized to take persons
18individuals into custody under ss. 51.15 and 55.06 (11) 55.135. In developing
19in-service training on emergency detention and emergency protective placement
20procedures, the county department of community programs shall consult the county
21department of developmental disabilities services under s. 51.437 in counties where
22these departments are separate.
Note: Changes cross-references to emergency protective services and emergency
protective placement, the provisions of which are renumbered in this bill.
AB785, s. 58
1Section 58. 51.42 (3) (e) of the statutes is amended to read:
AB785,51,132 51.42 (3) (e) Exchange of information. Notwithstanding ss. 46.2895 (9), 48.78
3(2) (a), 49.45 (4), 49.83, 51.30, 51.45 (14) (a), 55.06 (17) (c) 55.22 (3), 146.82, 252.11
4(7), 253.07 (3) (c) and 938.78 (2) (a), any subunit of a county department of community
5programs acting under this section may exchange confidential information about a
6client, without the informed consent of the client, with any other subunit of the same
7county department of community programs, with a resource center, care
8management organization or family care district, or with any person providing
9services to the client under a purchase of services contract with the county
10department of community programs or with a resource center, care management
11organization or family care district, if necessary to enable an employee or service
12provider to perform his or her duties, or to enable the county department of
13community programs to coordinate the delivery of services to the client.
Note: Changes a cross-reference to access to records in protective placement and
services cases, the provisions of which are renumbered in this bill.
AB785, s. 59 14Section 59 . 51.421 (1) of the statutes is amended to read:
AB785,51,2315 51.421 (1) Purpose. In order to provide the least restrictive and most
16appropriate care and treatment for persons with chronic serious and persistent
17mental illness, community support programs should be available in all parts of the
18state. In order to integrate community support programs with other long-term care
19programs, community support programs shall be coordinated, to the greatest extent
20possible, with the community options program under s. 46.27, with the protective
21services system in a county, with the medical assistance program under subch. IV of
22ch. 49 and with other care and treatment programs for persons with chronic serious
23and persistent
mental illness.
AB785, s. 60
1Section 60. 51.421 (2) of the statutes is amended to read:
AB785,52,152 51.421 (2) Services. If funds are provided, and within the limits of the
3availability of funds provided under s. 51.423 (2), each county department under s.
451.42 shall establish a community support program. Each community support
5program shall use a coordinated case management system and shall provide or
6assure access to services for persons with chronic serious and persistent mental
7illness who reside within the community. Services provided or coordinated through
8a community support program shall include assessment, diagnosis, identification of
9persons in need of services, case management, crisis intervention, psychiatric
10treatment including medication supervision, counseling and psychotherapy,
11activities of daily living, psychosocial rehabilitation which may include services
12provided by day treatment programs, client advocacy including assistance in
13applying for any financial support for which the client may be eligible, residential
14services and recreational activities. Services shall be provided to an individual based
15upon his or her treatment and psychosocial rehabilitation needs.
AB785, s. 61 16Section 61 . 51.421 (3) (c) of the statutes is amended to read:
AB785,52,2217 51.421 (3) (c) Monitor the establishment and the continuing operation of
18community support programs and ensure that community support programs comply
19with the standards promulgated by rule. The department shall ensure that the
20persons monitoring community support programs to determine compliance with the
21standards are persons who are knowledgeable about treatment programs for persons
22with chronic serious and persistent mental illness.
Note: Sections 59 to 61 revise the term "chronic mental illness" to "serious and
persistent mental illness".
AB785, s. 62 23Section 62. 51.437 (4) (c) of the statutes is amended to read:
AB785,53,10
151.437 (4) (c) County liability for care and services purchased through or
2provided by a county department of developmental disabilities services established
3under this section shall be based upon the client's county of residence except for
4emergency services for which liability shall be placed with the county in which the
5individual is found. For the purpose of establishing county liability, "emergency
6services" means those services provided under the authority of s. 55.05 (4), 2003
7stats., or s. 55.06 (11) (a), 2003 stats., or
s. 51.15, 55.05 (4) or 55.06 (11) (a), 55.13, or
855.135
. Nothing in this paragraph prevents recovery of liability under s. 46.10 or any
9other statute creating liability upon the individual receiving a service or any other
10designated responsible party.
Note: Changes cross-references to emergency protective services and emergency
protective placement, the provisions of which are renumbered in this bill.
AB785, s. 63 11Section 63. 51.437 (4r) (b) of the statutes is amended to read:
AB785,54,212 51.437 (4r) (b) Notwithstanding ss. 46.2895 (9), 48.78 (2) (a), 49.45 (4), 49.83,
1351.30, 51.45 (14) (a), 55.06 (17) (c) 55.22 (3), 146.82, 252.11 (7), 253.07 (3) (c) and
14938.78 (2) (a), any subunit of the county department of developmental disabilities
15services acting under this section may exchange confidential information about a
16client, without the informed consent of the client, with any other subunit of the same
17county department of developmental disabilities services, with a resource center,
18care management organization or family care district, or with any person providing
19services to the client under a purchase of services contract with the county
20department of developmental disabilities services or with a resource center, care
21management organization or family care district, if necessary to enable an employee
22or service provider to perform his or her duties, or to enable the county department

1of developmental disabilities services to coordinate the delivery of services to the
2client.
Note: Changes a cross-reference to access to records in protective placement and
services cases, the provisions of which are renumbered in this bill.
AB785, s. 64 3Section 64 . 51.67 (intro.) of the statutes is amended to read:
AB785,54,23 451.67 Alternate procedure; protective services. (intro.) If, after a hearing
5under s. 51.13 (4) or 51.20, the court finds that commitment under this chapter is not
6warranted and that the subject individual is a fit subject for guardianship and
7protective placement or services, the court may, without further notice, appoint a
8temporary guardian for the subject individual and order temporary protective
9placement or services under ch. 55 for a period not to exceed 30 days. Temporary
10protective placement for an individual in a center for the developmentally disabled
11is subject to s. 51.06 (3). Any interested party may then file a petition for permanent
12guardianship or protective placement or services, including medication, under ch.
1355. If the individual is in a treatment facility, the individual may remain in the
14facility during the period of temporary protective placement if no other appropriate
15facility is available. The court may order psychotropic medication as a temporary
16protective service under this section if it finds that there is probable cause to believe
17the individual is not competent to refuse psychotropic medication and that the
18medication ordered will have therapeutic value and will not unreasonably impair the
19ability of the individual to prepare for and participate in subsequent legal
20proceedings. An individual is not competent to refuse psychotropic medication if,
21because of chronic serious and persistent mental illness, and after the advantages
22and disadvantages of and alternatives to accepting the particular psychotropic
23medication have been explained to the individual, one of the following is true:
AB785, s. 65
1Section 65 . 51.67 (2) of the statutes is amended to read:
AB785,55,52 51.67 (2) The individual is substantially incapable of applying an
3understanding of the advantages, disadvantages and alternatives to his or her
4chronic serious and persistent mental illness in order to make an informed choice as
5to whether to accept or refuse psychotropic medication.
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