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9. The estimated number of diversions from the Winnebago Mental Health
17Institute.
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10. A description of the number and type of employees providing staffing during
19the various times of day.
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11. A description of rules and procedures for determining where to take an
21individual in need of crisis services if a crisis urgent care and observation facility
22does not have capacity or otherwise does not accept an individual.
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23(3) Admissions. (a) A crisis urgent care and observation facility certified under
24this section may accept individuals for any of the following services:
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1. Voluntary stabilization.
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12. Observation and treatment, including for assessments for mental health or
2substance use disorder.
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3. Screening for suicide and violence risk.
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4. Medication management and therapeutic counseling.
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(b) A crisis urgent care and observation facility certified under this section shall
6accept an adult individual for emergency detention under s. 51.15 and may accept
7a youth for emergency detention under s. 51.15. If the facility does not have capacity
8to accept an adult individual for purposes of emergency detention or if the facility
9does not accept a youth for purposes of emergency detention, that individual shall
10be transported to another appropriate facility in accordance with rules established
11by the department under sub. (4). A county crisis assessment under s. 51.15 (2) (c)
12is required prior to admission to a crisis urgent care and observation facility for
13purposes of emergency detention, but the medical clearance requirement under s.
1451.15 (2) (b) does not apply to crisis urgent care and observation facility admissions
15for purposes of emergency detention.
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(c) The department shall encourage each crisis urgent care and observation
17facility certified under this section to operate with the intent to admit individuals for
18no longer than 5 days, except in exceptional circumstances.
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19(4) Rules. The department shall promulgate rules to implement this section,
20including all of the following:
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(a) Establishment of the grant program described under sub. (2), including
22procedures for administration and establishment of criteria for awarding grants.
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(b) Establishment of requirements for crisis urgent care and observation
24facilities to match a portion of any grant awarded by the department under this
25section, as set forth under sub. (2) (c) 10., and for determining what types of
1contributions may count toward the matching requirement. The matching
2requirement established by the department under this paragraph may be fulfilled
3through in-kind contributions.
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(c) Requirements for admitting, holding, and discharging individuals for
5purposes of emergency detention.
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(d) Minimum security requirements for crisis urgent care and observation
7facilities certified under this section.
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(e) Establishment of a target range for the number of beds in a crisis urgent care
9and observation facility certified under this section.
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(f) Establishment of policies and criteria to ensure that law enforcement and
11other persons authorized to transport or cause transportation of an individual for
12purposes of emergency detention have clear standards and procedures regarding all
13of the following:
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1. The circumstances under which law enforcement and other persons may
15bring an individual to a crisis urgent care and observation facility certified under this
16section.
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2. The determination as to which facility law enforcement and other persons
18authorized to transport or cause transportation of an individual for purposes of
19emergency detention may take an individual.
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(g) Establishment of policies relating to interfacility transfers, including how
21such transfers should occur and who should be involved in such transfers. Barring
22exigent circumstances that necessitate law enforcement involvement, law
23enforcement may not transport an individual for purposes of an interfacility transfer
24from a crisis urgent care and observation facility.
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1(h) Establishment of procedures to coordinate communication regarding bed
2availability before the arrival of a patient and establishment of a process for
3determining where to take an individual in need of crisis services if a crisis urgent
4care and observation facility does not have capacity or otherwise does not accept an
5individual.
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(i) Establishment of policies for coordination between crisis urgent care and
7observation facilities certified under this section and any facility established or
8operated with funding received under s. 165.12 from settlement proceeds from the
9opiate litigation, as defined in s. 165.12 (1), as well as policies to encourage
10awareness of and communication and coordination with other facilities that provide
11services similar to those provided by crisis urgent care and observation facilities.
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(j) Establishment of procedures to require a crisis urgent care and observation
13facility to coordinate continuity of care with, when appropriate, a hub-and-spoke
14health home pilot program for any patient treated at a crisis urgent care and
15observation facility for a period of 5 or fewer days. The department shall establish
16procedures for follow-up with other transition facilities in the event that a
17hub-and-spoke health home pilot program is appropriate but not available.
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(k) Establishment of policies and procedures for crisis urgent care and
19observation facilities that intend to accept both youths and adults, including
20requirements that youths be treated in a separate part of the facility from adults,
21policies to address youth-related treatment issues, including parental input, and
22staff training for youth-specific issues.
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(L) Establishment of appropriate staffing level requirements.
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1(m) Establishment of requirements to define the population to be served at a
2given crisis urgent care and observation facility, including establishment of any
3minimum age requirements.
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4(5) Coordination. In accordance with rules established by the department
5under sub. (4) (i), a crisis urgent care and observation facility certified under this
6section shall coordinate to the fullest extent possible with any facility established or
7operated with funding received under s. 165.12 from settlement proceeds from the
8opiate litigation, as defined in s. 165.12 (1), as well as with other facilities that
9provide services similar to those provided by crisis urgent care and observation
10facilities.
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11Section
7. 51.15 (2) (d) of the statutes is amended to read:
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51.15
(2) (d) Detention under this section may only be in a treatment facility
13approved by the department or the county department, if the facility agrees to detain
14the individual, or a state treatment facility.
The department shall approve for
15purposes of this subsection any facility certified under s. 51.036.
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16Section
8.
Nonstatutory provisions.
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(1) When considering the initial certifications of crisis urgent care and
18observation facilities under s. 51.036, the department of health services shall, to the
19fullest extent possible, prioritize certification of a crisis urgent care and observation
20facility to be located at least 100 miles from the Winnebago Mental Health Institute
21and in the region of the state defined as the western region according to the
22department's division of the state into five regions by county as of January 5, 2023,
23for purposes of data analysis and communication.