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subch. III of ch. DCF 52 Subchapter III — Admission, Treatment and Planning and Discharge
DCF 52.21 DCF 52.21 Admission.
DCF 52.21(1)(1)Policies and procedures. A center shall have written resident admission policies and procedures that describe the primary presenting problems and range of behaviors of residents which the center will treat and center procedures for admitting a resident. Before a prospective resident is admitted to a center, center professional staff shall evaluate the needs of the prospective resident using information and procedures described in the agency program statement and operating plan and determine whether the center is able to meet the identified needs of the prospective resident.
DCF 52.21(2) (2) Admission screening report. Center professional staff shall complete a written, dated and signed admission screening report on a resident which includes a preadmission review and identification of the prospective resident's primary presenting problems and a statement recommending reasons for or against admission based on the ability of the center to meet the prospective resident's needs.
DCF 52.21(3) (3) Conditions. A center may admit a prospective resident if the center can meet the prospective resident's needs, as determined by the admission screening report under sub. (2) and if the following conditions are met:
DCF 52.21(3)(a) (a) Interstate placements. In accepting a prospective resident from outside the state of Wisconsin, the center has received prior written approval under the interstate compact on the placement of children under s. 48.988, Stats., and has received information on the prospective resident's social, medical and educational history.
DCF 52.21(3)(b) (b) Child under age 7. In admitting a child age 6 or under, the center has received prior written approval from the department. A center shall meet any additional requirements determined appropriate by the department for the care and treatment of a child age 6 or under.
DCF 52.21(3)(c) (c) Consent for medical care. The center has obtained written consent for medical services as required under sub. (4).
DCF 52.21(3)(d) (d) Serving children 18 years of age or over, but under 21 years of age. In admitting residents age 18 or over:
DCF 52.21(3)(d)1. 1. The center has a license to provide care and maintenance to a resident of that age, sex, and population type.
DCF 52.21 Note Note: A current licensee may request an amendment to serve a resident population that is 18 years of age or over, but under 21 years of age, and is transitioning to independence under s. DCF 52.62 (4) (d).
DCF 52.21(3)(d)2. 2. The center program statement under s. DCF 52.41 (1) describes how all of the following are achieved:
DCF 52.21(3)(d)2.a. a. Center program compatibility among residents.
DCF 52.21(3)(d)2.b. b. Age appropriate grouping in center activities and living arrangements.
DCF 52.21(3)(d)2.c. c. Transition-to-independence planning.
DCF 52.21(4) (4) Service contracts. As permitted under s. 48.61 (2), Stats., a center may enter into a contract with a prospective resident's parent or guardian or a contract or other agreement with the prospective resident's legal custodian or placing person or agency, if not the same, for the center to provide services for a person admitted to the center. The center shall maintain all service contracts and agreements for a resident either in the resident's treatment record or in an administrative record. A contract or other agreement shall include all of the following:
DCF 52.21(4)(a) (a) Expectations and responsibilities of both parties, including a clear division of responsibility and authority between the center and the parent or guardian, legal custodian and placing person or agency, if not the same, for decisions on resident treatment plan services and activities, including any changes in them, both inside and outside the center, as described in the resident's treatment plan under s. DCF 52.22 (2) (b).
DCF 52.21(4)(b) (b) The financial arrangements for the resident, and provision for periodic review of case plan progress under s. DCF 52.22 (3).
DCF 52.21(4)(c) (c) Visiting plans by parents and other persons important to the resident.
DCF 52.21(5) (5) Informed consent for medical and dental services.
DCF 52.21(5)(a)(a) Before a center may admit a prospective resident, the center shall obtain written, signed informed consent that gives the center health care consultant or resident's physician the following authority:
DCF 52.21(5)(a)1. 1. Authority to order or provide to the resident routine medical services and procedures, including scheduled immunizations and dental services and non-prescription and prescription medications.
DCF 52.21(5)(a)2. 2. Authority to delegate and supervise administration of medications by center-authorized staff and for staff to handle and provide the medication to the resident and observe self-administration of the medication by the resident.
DCF 52.21(5)(a)3. 3. Authority to obtain other medical information on the resident.
DCF 52.21(5)(a)4. 4. Authority to provide or order when there is a life-threatening situation, emergency medical procedures, including surgery, when it is not possible to immediately reach the person or authority authorized to give signed written specific informed consent.
DCF 52.21(5)(b) (b) The consent under par. (a) does not cover administration of psychotropic medications, major surgery not of an emergency nature or major dental work. Consent for these shall be obtained in accordance with the provisions of this chapter.
DCF 52.21(6) (6) Pre-placement visit. A center shall arrange, whenever possible, with the placing person or agency for a pre-placement visit for the prospective resident and, whenever possible, shall invite the parent or guardian to participate. During a pre-placement visit, center staff shall provide the prospective resident and his or her parent or guardian with an orientation to the center's program.
DCF 52.21(7) (7) Adjustment facilitation. At the time of admission, center staff shall do all of the following:
DCF 52.21(7)(a) (a) Orient the new resident and his or her parent or guardian and legal custodian to the center's facilities and program, if this was not done under sub. (6).
DCF 52.21(7)(b) (b) Help the new resident to adjust to the effects of separation from his or her family and to center placement.
DCF 52.21(7)(c) (c) Give the new resident and his or her parent or guardian and legal custodian copies of the house rules, including rules on visiting, expected behavior and sanctions for misbehaving and resident rights and grievance and complaint procedures, with explanations of them.
DCF 52.21(8) (8) Health screening.
DCF 52.21(8)(a)(a) Examination. Upon admission of a new resident, a center shall do one of the following:
DCF 52.21(8)(a)1. 1. Obtain either from a certified HealthCheck provider or licensed physician the results of a physical examination of the young person comparable to a comprehensive HealthCheck screening, that has taken place within one year before admission, and from a licensed dentist the results of a dental examination of the young person that was done within one year before admission.
DCF 52.21(8)(a)2. 2. Arrange for a health examination of the new resident to take place within 2 working days after admission, and a dental examination to take place within 90 days after admission. The health examination shall cover the areas prescribed in a form provided by the department.
DCF 52.21 Note Note: Copies of the Department's age-appropriate HealthCheck examination forms can be obtained from any local public health agency, from the Department's website at http://dhs.wisconsin.gov/forms/FtoM.asp or by writing or telephoning any field office listed in Appendix D.
DCF 52.21(8)(b) (b) Observation. An observation shall be made on each person at the time of his or her admission to the center by a person capable of recognizing common signs of communicable disease or other evidence of ill health. If the person admitted shows overt signs of communicable disease or other evidence of ill health, the center shall make arrangements for immediate examination by a physician. If the person admitted has a risk of having a sexually transmitted disease because of recent sexual abuse history or sexual activity, the center shall immediately consult with a physician and follow whatever precautionary measures are recommended by the physician and shall make arrangements for examination by a physician to take place as soon as possible.
DCF 52.21(9) (9) Register. The center shall maintain a register of all residents. The register shall contain the date of admission and resident identifying information including name, birthdate, sex, the name and address of the placing person or agency and the name and address of a parent or guardian and legal custodian or, if the resident is 18 years of age or over, the name and address of the lawful placing authority and the name of the resident's guardian, if applicable. If the resident is from another state, the register shall also identify the state.
DCF 52.21 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (3) (d) 1., 2., (4) (a) and (b) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1414: r. and recr. (3) (d) (title), 1., am. (3) (d) 2. a., r. and recr. (3) (d) 2. c., am. (9), eff. 8-1-14; CR 14-054: r. and recr. (3) (d) (title), 1., am. (3) (d) 2. a., r. and recr. (3) (d) 2. c., am. (9) Register April 2015 No. 712, eff. 5-1-15; correction in (1) made under s. 13.92 (4) (b) 1., Stats., Register March 2018 No. 747.
DCF 52.22 DCF 52.22 Assessment and treatment planning and review.
DCF 52.22(1)(1)Timeliness. Within 30 days after resident center admission, center professional staff and, as necessary, outside consultants, shall conduct an initial assessment of the resident's treatment and service needs and, based on that assessment, shall develop for the resident a written treatment plan. In developing the treatment plan, center staff shall, if possible, involve all of the following:
DCF 52.22(1)(a) (a) The placing person or agency.
DCF 52.22(1)(b) (b) Resident care worker staff who work with the resident.
DCF 52.22(1)(c) (c) The resident, if 12 years of age or older.
DCF 52.22(1)(d)1.1. If the resident is under age 18, the resident's parents or guardian and legal custodian, if any, and other persons important to the resident.
DCF 52.22(1)(d)2. 2. If the resident is 18 years of age or over, other authorities or agencies involved in the resident's placement; the resident's guardian, if any; and, with the resident's consent, other persons important to the resident.
DCF 52.22(2) (2) Assessment and treatment plan development.
DCF 52.22(2)(ag) (ag) The treatment plan for a new resident shall be based on the initial assessment under sub. (1) (intro.) and incorporate information documented on the forms required under ch. DCF 37.
DCF 52.22 Note Note: The forms required under ch. DCF 37 are DCF-F-872A-E, Information for Out-of-Home Care Providers, Part A and DCF-F-872B-E, Information for Out-of-Home Care Providers, Part B. Both forms are available in the forms section of the department website at http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence, P.O. Box 8916, Madison, WI 53708−8916.
DCF 52.22(2)(am) (am) The treatment plan for a new resident shall address all of the following:
DCF 52.22(2)(am)1. 1. Behavioral functioning.
DCF 52.22(2)(am)2. 2. Psychological or emotional adjustment.
DCF 52.22(2)(am)3. 3. Personal and social development.
DCF 52.22(2)(am)4. 4. Familial relationships and family history.
DCF 52.22(2)(am)5. 5. Medical and health needs as indicated by the health screening under s. DCF 52.21 (8).
DCF 52.22(2)(am)6. 6. Educational and vocational needs.
DCF 52.22(2)(am)7. 7. Independent living skills and adaptive functioning.
DCF 52.22(2)(am)8. 8. Recreational interests and abilities.
DCF 52.22(2)(b) (b) The treatment plan shall be time-limited, goal-oriented and individualized to meet the specific needs of the resident as identified from the assessment and shall include all of the following components:
DCF 52.22(2)(b)1. 1. The resident's treatment goals and permanency planning goals which specify whether the resident is to return as quickly as possible to his or her family or attain another placement providing long-term stability.
DCF 52.22(2)(b)2. 2. A statement of behavioral or functional objectives that specifies behaviors to be changed, eliminated or modified, and includes projected achievement dates, with measurable indicators or criteria for monitoring progress and assessing achievement of treatment goals. The statement shall identify all staff responsible for working with the resident in achieving the objectives.
DCF 52.22(2)(b)3. 3. Conditions for discharge of the resident.
DCF 52.22(2)(b)4. 4. When applicable, a description of any specialized service contracted by the center for the resident under s. DCF 52.12 (8).
DCF 52.22(2)(b)5. 5. Identification of services and their arrangements on behalf of the resident and his or her family.
DCF 52.22(2)(c)1.1. A treatment plan shall be dated and signed by center staff who participated and by the placing person or agency when participating.
DCF 52.22(2)(c)2. 2. A copy of the center's dated and signed treatment plan shall be provided to the resident's placing person or agency and upon request, anyone else participating in the treatment planning process.
DCF 52.22(3) (3) Implementation and review.
DCF 52.22(3)(a)(a) A resident's services case manager shall coordinate, monitor and document the following in the resident's treatment record during implementation of the resident's treatment plan:
DCF 52.22(3)(a)1. 1. Assessment of the resident's progress in response to treatment, in dated summary form, using criteria found in the resident's treatment plan.
DCF 52.22(3)(a)2. 2. Significant events relating to implementation of the resident's treatment plan.
DCF 52.22(3)(b) (b) At least once every 3 months, the center shall conduct a treatment plan review that includes a review of reasonable and prudent parenting requests and decisions made for a resident and the resident's progress toward meeting treatment plan goals. If available, the individuals who participated in the development of the resident's assessment and treatment plan shall be invited to participate in the review.
DCF 52.22(3)(bm) (bm) The center shall conduct a treatment plan review and revise the treatment plan as needed, consistent with the resident's needs, treatment plan goals, and the permanency planning goals of the placing person or agency.
DCF 52.22(3)(c) (c) Center staff shall record in the resident's treatment record the results of all treatment plan reviews, the date of each review and the names of participants.
DCF 52.22 History History: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (2) (a) 5. and (b) 4. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635; EmR1414: emerg. renum. (1) (d) to (1) (d) 1., 2. and am., eff. 8-1-14; CR 14-054: renum. (1) (d) to (1) (d) 1., 2. and am. Register April 2015 No. 712, eff. 5-1-15; EmR1633: emerg. renum. (2) (a) to (2) (am) and am. (2) (am) (intro.), cr. (2) (ag), r. and recr. (3) (b), cr. (3) (bm), eff. 11-18-16; CR 16-051: renum. (2) (a) to (2) (am) and am. (2) (am) (intro.), cr. (2) (ag), r. and recr. (3) (b), cr. (3) (bm) Register July 2017 No. 739, eff. 8-1-17.
DCF 52.23 DCF 52.23 Discharge and aftercare.
DCF 52.23(1)(1)Policies and procedures. A center shall have written policies and procedures which explain the process for discharge of a resident. Those policies and procedures shall ensure that center professional staff document and date in the resident's treatment record all of the following:
DCF 52.23(1)(a) (a) That center professional staff have attempted involvement of the resident, if able to understand, and the resident's parents or guardian and legal custodian, if any, and placing person or agency, if different, in developing the plan for aftercare.
DCF 52.23(1)(b) (b) That center professional staff have prepared in writing, at least 30 days before the planned discharge of the resident, an aftercare plan for the resident that includes all of the following:
DCF 52.23(1)(b)1. 1. Identification of persons and agencies participating in development of the aftercare plan.
DCF 52.23(1)(b)2. 2. Recommendations for continuing or additional services and identification of service providers.
DCF 52.23(1)(b)3. 3. The name, address and telephone number of the person or agency to receive the former resident upon discharge and the relationship, if any, of the former resident to that person or the head of that agency.
DCF 52.23(1)(c) (c) That center professional staff have provided copies of the aftercare plan to the resident, if able to understand, and the resident's parents, guardian and legal custodian and placing person or agency if not the same.
DCF 52.23(2) (2) Preparation for discharge.
DCF 52.23(2)(a)(a) The center shall document in the resident's treatment record efforts made by center staff to prepare the resident and the resident's family for discharge including but not limited to, discussing with them their feelings about becoming a family unit again or, where applicable, efforts to help the resident and resident's family adjust to a different placement or living arrangement.
DCF 52.23(2)(b) (b) Each resident who has not had a health examination within the periodicity schedule of the medical assistance HealthCheck program shall have a complete health examination before discharge.
DCF 52.23(2)(c) (c) The center shall ensure that at discharge a resident's personal clothing and belongings go with him or her.
DCF 52.23(3) (3) Discharge summary. The center shall send to the placing person or agency within 30 days following the resident's discharge a copy of the former resident's discharge summary and place a copy in the former resident's treatment record. The discharge summary shall include all of the following:
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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.