DHS 36.12(1)(b)9.
9. Current principles and procedures for providing services to children and adults with mental disorders, substance-use disorders and co-occurring disorders. Areas addressed shall include recovery-oriented assessment and services, principles of relapse prevention, psychosocial rehabilitation services, age–appropriate assessments and services for individuals across the lifespan, trauma assessment and treatment approaches, including symptom self-management, the relationship between trauma and mental and substance abuse disorders, and culturally and linguistically appropriate services.
DHS 36.12(1)(b)10.
10. Techniques and procedures for providing non–violent crisis management for consumers, including verbal de–escalation, methods for obtaining backup, and acceptable methods for self–protection and protection of the consumer and others in emergency situations, suicide assessment, prevention and management.
DHS 36.12(1)(b)11.
11. Training that is specific to the position for which each employee is hired.
DHS 36.12 Note
Note: Service facilitators, for example, need a thorough understanding of facilitation and conflict resolution techniques, resources for meeting basic needs, any eligibility requirements of potential resource providers and procedures for accessing these resources. Mental health professionals and substance abuse professionals will need training regarding the scope of their authority to authorize services and procedures to be followed in the authorization process.
DHS 36.12(1)(c)
(c)
Ongoing training program. The CCS shall ensure that each staff member receives at least 8 hours of inservice training a year that shall be designed to increase the knowledge and skills received by staff members in the orientation training provided under par.
(b). Staff shared with other community mental health or substance abuse programs may apply documented in-service hours received in those programs toward this requirement if that training meets the requirements under this chapter. Ongoing in-service training shall include one or more of the following:
DHS 36.12(1)(c)1.
1. Time set aside for in–service training, including discussion and presentation of current principles and methods of providing psychosocial rehabilitation services.
DHS 36.12(1)(c)2.
2. Presentations by community resource staff from other agencies, including consumer operated services.
DHS 36.12(1)(d)
(d)
Training records. Updated, written copies of the orientation and ongoing training programs and documentation of the orientation and ongoing training received by staff members and volunteers shall be maintained as part of the central administrative records of the CCS.
DHS 36.12 History
History: CR 04-025: cr.
Register October 2004 No. 586, eff. 11-1-04; corrections in (1) (b) 6. and 7. made under s.
13.92 (4) (b) 7., Stats.,
Register November 2008 No. 635.
DHS 36.13(1)(1)
Application. Any person seeking services under this chapter shall complete an application for services. Upon receipt of an application the CCS shall determine the applicant's need for psychosocial rehabilitation services pursuant to s.
DHS 36.14.
DHS 36.13(1m)
(1m) Admission agreement. An admission agreement that includes all of the following shall be signed by applicant at the time of application to the CCS:
DHS 36.13(1m)(a)
(a) The nature of the CCS in which the consumer will be participating, including the hours of operation and how to obtain crisis services during hours in which the CCS does not operate, and staff member titles and responsibilities.
DHS 36.13(1m)(c)
(c) An acknowledgement of receipt and understanding of the information received in pars.
(a) and
(b).
DHS 36.13(2)
(2) Services pending determination of the need for psychosocial rehabilitation services. Pending determination of the need for psychosocial rehabilitation services, the CCS shall identify any immediate needs of the consumer. The applicant may be provided with psychosocial rehabilitation services and supportive activities, including identifying recovery team members under s.
DHS 36.16 (7) to meet those needs only after the occurrence of all of the following:
DHS 36.13(2)(a)
(a) A mental health professional has authorized services as evidenced by the signature of the mental health professional as required in s.
DHS 36.15.
DHS 36.13(2)(b)
(b) The assessment of initial needs and the authorization for services have been documented.
DHS 36.13(3)
(3) Determination of the need for psychosocial rehabilitation services. The need for psychosocial rehabilitation services shall be determined pursuant to s.
DHS 36.14.
DHS 36.13(4)
(4) Discrimination prohibited. The CCS shall ensure that no consumer is denied benefits or services or is subjected to discrimination on the basis of age, race or ethnicity, religion, color, sexual orientation, marital status, arrest or conviction record, ancestry, national origin, disability, gender, sexual orientation or physical condition.
DHS 36.13 History
History: CR 04-025: cr.
Register October 2004 No. 586, eff. 11-1-04.
DHS 36.14
DHS 36.14
Criteria for determining the need for psychosocial rehabilitation services. Psychosocial rehabilitation services shall be available to individuals who are determined to require more than outpatient counseling but less than the services provided by a community support program under s.
51.421, Stats., and ch.
DHS 63, as a result of a department-approved functional screen and meet all of the following criteria:
DHS 36.14(1)
(1) Has a diagnosis of a mental disorder or a substance use disorder.
DHS 36.14(2)
(2) Has a functional impairment that interferes with or limits one or more major life activities and results in needs for services that are described as ongoing, comprehensive and either high-intensity or low-intensity. Determination of a qualifying functional impairment is dependent upon whether the applicant meets one of the following descriptions:
DHS 36.14(2)(a)
(a) `Group
1'. Persons in this group include children and adults in need of ongoing, high-intensity, comprehensive services who have diagnoses of a major mental disorder or substance-use disorder, and substantial needs for psychiatric, substance abuse, or addiction treatment.
DHS 36.14(2)(b)
(b) `Group 2'. Persons in this group include children and adults in need of ongoing, low-intensity comprehensive services who have a diagnosed mental or substance-use disorder. These individuals generally function in a fairly independent and stable manner but may occasionally experience acute psychiatric crises.
DHS 36.14 Note
Note: Appropriate identification of mental health or substance-use related problems for this group is critical, especially because they are often first seen in non-mental health or substance-use treatment settings, e.g., primary care sector, school system, law enforcement, child welfare, aging services, domestic violence shelters, etc.
DHS 36.14(3)(a)(a) If the department-approved functional screen cannot be completed at the time of the consumer's application, the CCS shall conduct an assessment of the applicant's needs pursuant to s.
DHS 36.16 (3) and
(4). An assessment conducted under s.
DHS 36.16 (3) and
(4) may be abbreviated if any one of the conditions under s.
DHS 36.16 (5) applies.
DHS 36.14(3)(b)
(b) If an applicant is determined to not need psychosocial rehabilitation services, no additional psychosocial rehabilitation services may be provided to the applicant by the CCS program. The applicant shall be given written notice of the determination and referred to a non-CCS program. The applicant may submit a written request for a review of the determination to the department.
DHS 36.14 Note
Note: A written request for a review of the determination of need for psychosocial rehabilitation services should be addressed to the Bureau of Mental Health and Substance Abuse Services, 1 W. Wilson Street, Room 433, PO Box 7851, Madison, WI 53707-7851.
DHS 36.14(3)(c)
(c) If an applicant is determined to need psychosocial rehabilitation services, a comprehensive assessment shall be conducted under s.
DHS 36.16 (3) and
(4) unless the following conditions are present:
DHS 36.14 History
History: CR 04-025: cr.
Register October 2004 No. 586, eff. 11-1-04; correction in (intro.) made under s.
13.92 (4) (b) 7., Stats.,
Register November 2008 No. 635.
DHS 36.15
DHS 36.15
Authorization of services. DHS 36.15(1)(1)
Before a service is provided to an applicant under s.
DHS 36.13 (2) or
36.17, a mental health professional shall do all of the following:
DHS 36.15(1)(a)
(a) Review and attest to the applicant's need for psychosocial rehabilitation services and medical and supportive activities to address the desired recovery goals.
DHS 36.15(1)(b)
(b) Assure that a statement authorizing the proposed psychosocial rehabilitation services under the standards set forth in par.
(a) is provided and filed in the consumer service record.
DHS 36.15(2)
(2) If the applicant has or may have a substance-use disorder, a substance abuse professional shall also sign the authorization for services.
DHS 36.15 History
History: CR 04-025: cr.
Register October 2004 No. 586, eff. 11-1-04.
DHS 36.16(1)(1)
Policies and procedures. The CCS shall implement policies and procedures that address the requirements under this section.
DHS 36.16(2)
(2) Facilitation. All of the following shall occur concerning the assessment:
DHS 36.16(2)(a)
(a) The assessment process and the assessment summary required under sub.
(6) shall be completed within 30 days of receipt of an application for services. The assessment process shall be explained to the consumer and, if appropriate, a legal representative or family member.
DHS 36.16(2)(b)
(b) The assessment process shall be facilitated by a service facilitator.
DHS 36.16(2)(c)
(c) Substance use diagnoses shall be established by a substance abuse professional. An assessment of the consumer's substance use, strengths and treatment needs also shall be conducted by a substance abuse professional.
DHS 36.16(2)(d)
(d) The assessment process shall incorporate, to the greatest extent possible, the consumer's unique perspective and own words about how he or she views his or her recovery, experience, challenges, strengths, resources and needs in each of the domains included in the assessment process.
DHS 36.16(3)
(3) Assessment criteria. The assessment shall be comprehensive and accurate. The assessment shall be conducted within the context of the domains listed in sub.
(4), and any other domains identified by the CCS, and shall be consistent with all of the following:
DHS 36.16(3)(a)
(a) Be based upon known facts and recent information and evaluations and include assessment for co-existing mental health disorders, substance-use disorders, physical or mental impairments and medical problems.
DHS 36.16(3)(c)
(c) Address the strengths, needs, recovery goals, priorities, preferences, values and lifestyle of the consumer.
DHS 36.16(3)(d)
(d) Address age and developmental factors that influence appropriate outcomes, goals and methods for addressing them.
DHS 36.16(3)(e)
(e) Identify the cultural and environmental supports as they affect identified goals and desired outcomes and preferred methods for achieving the identified goals.
DHS 36.16(3)(f)
(f) Identify the consumer's recovery goals and understanding of options for treatment, psychosocial rehabilitation services and self-help programs to address those goals.
DHS 36.16(4)
(4) Assessment domains. The assessment process shall address all of the following domains of functioning:
DHS 36.16(4)(c)
(c) Social network and family involvement. In this paragraph “family involvement" means the activities of a family member to support a consumer receiving psychosocial rehabilitation services. Except where rights of visitation have been terminated, the family of a minor shall always be included. The family of an adult consumer may be involved only when the adult has given written permission.
DHS 36.16(5)(a)
(a) The assessment in sub.
(3) may be abbreviated if the consumer has signed an admission agreement and one of the following circumstances apply:
DHS 36.16(5)(a)1.
1. The consumer's health or symptoms are such that only limited information can be obtained immediately.
DHS 36.16(5)(a)2.
2. The consumer chooses not to provide information necessary to complete a comprehensive assessment at the time of application.
DHS 36.16(5)(a)3.
3. The consumer is immediately interested in receiving only specified services that require limited information.
DHS 36.16(5)(b)
(b) An assessment conducted under this subsection shall meet the requirements under sub.
(3) to the extent possible within the context that precluded a comprehensive assessment.
DHS 36.16(5)(c)
(c) The assessment summary required to be completed under sub.
(6) shall include the specific reason for abbreviating the assessment.
DHS 36.16(5)(d)
(d) An abbreviated assessment shall be valid for up to 3 months from the date of the application. Upon the expiration date, a comprehensive assessment shall be conducted to continue psychosocial rehabilitation services. If a comprehensive assessment cannot be conducted when the abbreviated assessment expires, the applicant shall be given notice of a determination that the consumer does not need psychosocial rehabilitation services pursuant to the requirements of s.
DHS 36.14 (3) (b).
DHS 36.16(6)
(6) Assessment summary. The assessment shall be documented in an assessment summary that shall be prepared by a member of the recovery team and shall include all of the following:
DHS 36.16(6)(a)
(a) The period of time within which the assessment was conducted. Each meeting date shall be included.
DHS 36.16(6)(b)
(b) The information on which outcomes and service recommendations are based.
DHS 36.16(6)(c)
(c) Desired outcomes and measurable goals desired by the consumer.
DHS 36.16(6)(d)
(d) The names and relationship to the consumer of all individuals who participated in the assessment process.
DHS 36.16(6)(e)
(e) Significant differences of opinion, if any, which are not resolved among members of the recovery team.
