Chapter DHS 66

DHS 66.08 DHS 66.08 Assessment and referral for treatment and monitoring.

DHS 66.08(1) (1) Assessment. Each TAP agency shall have a standardized assessment process for persons referred from the criminal justice system to ensure that all eligibility criteria are met and that a person who is referred for TAP is appropriate for the program. The assessment process shall include:

DHS 66.08(1)(a) (a) A face-to-face interview with each potential client by a qualified TAP staff member within a specified period of time after the date of the initial referral from the criminal justice system;

DHS 66.08(1)(b) (b) Application of standardized assessment instruments and procedures for confirming the eligibility of a potential client, including instruments and procedures that disclose a potential client’s drug dependent status and current and past involvement with the criminal justice system;

DHS 66.08(1)(c) (c) A determination of the most appropriate type of AODA treatment for each client; and

DHS 66.08(1)(d) (d) The client’s agreement to participate in TAP, including his or her understanding of confidentiality requirements and his or her agreement to follow TAP agency and treatment agency policies and procedures.

DHS 66.08(2) (2) Referral. Within 48 hours after the assessment under sub. (1) is completed, excluding weekends, a client shall be referred to a treatment program. If a treatment placement is not immediately available, TAP staff shall monitor the client during the interim period.

DHS 66.08(3) (3) Testing of specimens. Each TAP agency shall:

DHS 66.08(3)(a) (a) Have written procedures for conducting urinalysis and other tests that detect the presence of drugs used by a client, including procedures for collecting, processing and analyzing specimens and recording positive results;

DHS 66.08(3)(b) (b) Maintain records of all specimens collected and the frequency of testing for each phase of a client’s TAP participation and progress. A client referred to outpatient treatment shall comply with on-site, random requests for specimen submissions at least during the first 6 months of TAP participation; and

DHS 66.08(3)(c) (c) Have a written contract with a laboratory certified under 42 CFR 493 to conduct confirmatory urinalyses and other tests of specimens. The contract shall delineate all quality control procedures and standards and shall specify how a chain of custody of the specimen will be established to ensure that the urinalysis and other tests are legally acceptable evidence.

DHS 66.08(4) (4) Case management.

DHS 66.08(4)(a) (a) The TAP agency shall develop an individualized written case management plan for each client. The plan shall be approved by the client and the treatment agency. The plan shall specify:

DHS 66.08(4)(a)1. 1. The treatment services to be delivered;

DHS 66.08(4)(a)2. 2. The frequency of and justification for contacts with TAP agency and treatment agency counselors; and

DHS 66.08(4)(a)3. 3. The content and frequency of treatment agency progress reports to the TAP agency and the referring criminal justice system component.

DHS 66.08(4)(b) (b) The referring criminal justice system component shall be kept informed about each referred client’s progress, as follows:

DHS 66.08(4)(b)1. 1. The TAP agency shall give written notice of the person’s admission into the TAP program and placement of the client in a treatment program, and shall submit a copy of the case management plan under par. (a) to the criminal justice system component;

DHS 66.08(4)(b)2. 2. The TAP agency shall require treatment agencies to submit treatment progress reports to the TAP agency and the criminal justice system component, at least monthly; and

DHS 66.08(4)(b)3. 3. The TAP agency shall, within 24 hours after a client’s termination, notify the referring criminal justice system component of the client’s termination.

DHS 66.08(4)(c) (c) The TAP agency shall maintain a separate file for each TAP client, which shall include:

DHS 66.08(4)(c)1. 1. A record of all treatment services provided to the client from admission to termination; and

DHS 66.08(4)(c)2. 2. Written and signed notations by each TAP agency counselor involved with the client, specifying the date and content of all face-to-face and telephone contacts with the client, the referring justice system component and the client’s treatment agency.

DHS 66.08(5) (5) Termination criteria. Each TAP agency shall establish written criteria for successful and unsuccessful termination of clients from TAP participation. The criteria shall be agreed to by cooperating criminal justice system components and treatment agencies and shall include:

DHS 66.08(5)(a) (a) In regard to criteria measuring successful termination:

DHS 66.08(5)(a)1. 1. Completion of a written case management plan as required under sub. (4) within 15 days after admission into TAP; and

DHS 66.08(5)(a)2. 2. Compliance with any court order or other legal order relating to the client; and

DHS 66.08(5)(b) (b) In regard to criteria measuring unsuccessful termination:

DHS 66.08(5)(b)1. 1. The client’s unexcused absence from a specified number of scheduled TAP agency or treatment agency appointments;

DHS 66.08(5)(b)2. 2. The client’s continued alcohol or other drug use or abuse as documented by a specified number of positive urinalysis tests or other test of specimens;

DHS 66.08(5)(b)3. 3. Re-arrest of the client; or

DHS 66.08(5)(b)4. 4. The client’s lack of participation or cooperation in the treatment program as documented by the treatment agency counselor’s written complaints of the client’s non-compliance with TAP agency or treatment agency requirements.

DHS 66.08 History History: Cr. Register, January, 1989, No. 397, eff. 2-1-89.

DHS 66.09 DHS 66.09 Staff training. Each TAP agency shall:

DHS 66.09(1) (1) Ensure that all staff understand the TAP agency mission, philosophy and operating procedures;

DHS 66.09(2) (2) Have a written master plan for staff training that identifies training goals and specifies training procedures and schedules;

DHS 66.09(3) (3) Prepare and annually update a written training plan for each staff member. Each staff member shall receive at least 32 hours of training each year on pharmacology, sentencing practices, assessment of drug dependency, substance abuse treatment modalities, treatment expectations and case management; and

DHS 66.09(4) (4) Maintain a personnel file for each staff member that includes his or her written job responsibilities and performance guidelines and a record of in-service training completed.

DHS 66.09 History History: Cr. Register, January, 1989, No. 397, eff. 2-1-89.

DHS 66.10 DHS 66.10 Data collection.

DHS 66.10(1) (1) Upon request of the department, each TAP agency shall submit the following program information to the department on forms provided by the department:

DHS 66.10(1)(a) (a) The number of potential clients identified and referred to the TAP agency from each cooperating criminal justice system component;

DHS 66.10(1)(b) (b) The number of clients admitted by the TAP agency;

DHS 66.10(1)(c) (c) Each client’s socio-economic and demographic characteristics, including age, race, sex, education and employment status;

DHS 66.10(1)(d) (d) The criminal charge against each client, the client’s drug dependent status, the primary drug of abuse or other diagnosis and the results of urinalysis and other diagnostic testing;

DHS 66.10(1)(e) (e) Each client’s treatment progress and status, and any client rearrests and intervening court appearances;

DHS 66.10(1)(f) (f) The number and type of services provided by TAP agency and treatment agency staff to each client; and

DHS 66.10(1)(g) (g) Expenditures for the TAP agency by budget line-item category during a reporting period.

DHS 66.10(2) (2) The department shall analyze all data collected from TAP agencies and other sources to determine program effectiveness and for purposes of public information and management planning.

DHS 66.10(3) (3) The department may not require the submission of client-identifiable data except for research purposes. No client-identifiable data may be published.

DHS 66.10 History History: Cr. Register, January, 1989, No. 397, eff. 2-1-89.