SB226: Bill Text

For further information see the state and local fiscal estimate, which will be printed as an appendix to this bill.

The people of the state of Wisconsin, represented in senate and assembly, do enact as follows:

SB226, s. 1 Section 1. 51.01 (13r) of the statutes is created to read:

SB226,6,2 51.01 (13r) "Psychotropic medication" has the meaning given in s. 50.035 (5) (a) 2.

SB226, s. 2 Section 2. 51.13 (1) (title) of the statutes is amended to read:

SB226,6,4 51.13 (1) (title) Admission through board or department.

SB226, s. 3 Section 3. 51.13 (1) (a) of the statutes is amended to read:

SB226,6,16 51.13 (1) (a) Except as provided in par. (c) and s. ss. 51.45 (2m) and 51.47, the application for voluntary admission of a minor who is 14 years of age or older to an approved inpatient treatment facility for the primary purpose of treatment for alcoholism or drug abuse and the application for voluntary admission of a minor who is under 14 years of age to an approved inpatient treatment facility for the primary purpose of treatment for mental illness, developmental disability, alcoholism, or drug abuse shall be executed by a parent who has legal custody of the minor or the minor's guardian. Any statement or conduct by a minor who is the subject of an application for voluntary admission under this paragraph indicating that the minor does not agree to admission to the facility shall be noted on the face of the application and shall be noted in the petition required by sub. (4).

SB226, s. 4 Section 4. 51.13 (1) (b) of the statutes is amended to read:

SB226,6,24 51.13 (1) (b) The application for voluntary admission of a minor who is 14 years of age or older to an approved inpatient treatment facility for the primary purpose of treatment for mental illness or developmental disability shall be executed by the minor and a parent who has legal custody of the minor or the minor's guardian, except as provided in par. (c) 1., except that, if the minor refuses to execute the application, a parent who has legal custody of the minor or the minor's guardian may execute the application on the minor's behalf.

SB226, s. 5 Section 5. 51.13 (1) (c) 3. of the statutes is amended to read:

SB226,7,3 51.13 (1) (c) 3. The court may, at the minor's request, temporarily approve the admission under subd. 1. or 2. pending hearing on the petition. If a hearing is held under subd. 1. or 2., no review or hearing under sub. (4) is required.

SB226, s. 6 Section 6. 51.13 (1) (d) of the statutes is amended to read:

SB226,7,10 51.13 (1) (d) A minor against whom a petition or statement has been filed under s. 51.15, 51.20, or 51.45 (12) or (13) may be admitted under this section. The court may permit the minor to become a voluntary patient under this section upon approval by the court of an application executed under par. (a), (b), or (c). The court shall then dismiss the proceedings under s. 51.15, 51.20, or 51.45 (12) or (13). If a hearing is held under this subsection, no hearing under sub. (4) is required.

SB226, s. 7 Section 7. 51.13 (1) (e) of the statutes is amended to read:

SB226,7,24 51.13 (1) (e) A minor may be admitted immediately upon the approval of the application executed under par. (a) or (b) by the treatment director of the facility or his or her designee or, in the case of a center for the developmentally disabled, the director of the center or his or her designee, and, if the county department is to be responsible for the cost of the minor's therapy and treatment, the director of the appropriate county department under s. 51.42 or 51.437 if the county department is to be responsible for the cost of the minor's therapy and treatment. Admission under par. (c) or (d) shall also be approved, within 14 days of the minor's admission, by the treatment director of the facility or his or her designee, or in the case of a center for the developmentally disabled, the director of the center or his or her designee and, if the county department is to be responsible for the cost of the minor's therapy and treatment, the director of the appropriate county department under s. 51.42 or 51.437.

SB226,8,9 (em) Approval under par. (e) shall be based upon an informed professional opinion that the minor is in need of psychiatric services or services for developmental disability, alcoholism, or drug abuse, that the treatment facility offers inpatient therapy or treatment that is appropriate for the minor's needs, and that inpatient care in the facility is the least restrictive therapy or treatment consistent with the minor's needs. In the case of a minor who is being admitted for the primary purpose of treatment for alcoholism or drug abuse, approval shall also be based on the results of an alcohol or other drug abuse assessment that conforms to the criteria specified in s. 938.547 (4).

SB226, s. 8 Section 8. 51.13 (1) (f) of the statutes is repealed.

SB226, s. 9 Section 9. 51.13 (2) of the statutes is repealed.

SB226, s. 10 Section 10. 51.13 (3) (a) and (c) of the statutes are consolidated, renumbered 51.13 (3) (am) and amended to read:

SB226,9,7 51.13 (3) (am) Prior to admission if possible, or as soon thereafter as possible, the minor who is admitted under sub. (1) (a) or (b) and the minor's parent or guardian shall be informed by the director of the facility or his or her designee, both orally and in writing, in easily understandable language, of the review procedure in sub. (4), including the standards to be applied by the court and the possible dispositions,; the minor's right to an independent evaluation, if ordered by the court; the minor's right to assistance from the state protection and advocacy agency designated under s. 51.62 (2) (a); the right under sub. (4) (d) to a hearing upon request under sub. (4), and; the minor's right to appointed counsel as provided in sub. (4) (d) if a hearing is held. (c) A minor 14 years of age or older who has been admitted to an inpatient facility for the primary purpose of treatment for alcoholism or drug abuse, a minor under 14 years of age who has been admitted to an inpatient treatment facility for the primary purpose of treatment for mental illness, developmental disability, alcoholism, or drug abuse, and the minor's parent or guardian shall also be informed by the director or his or her designee, both orally and in writing, in easily understandable language, of; for a minor other than a minor specified under par. (b), the right of the minor or parent or guardian to request the minor's discharge as provided in or limited by sub. (7) (b); and of the minor's right to a hearing to determine continued appropriateness of the admission as provided in sub. (7) (c).

SB226, s. 11 Section 11. 51.13 (3) (b) of the statutes is amended to read:

SB226,9,18 51.13 (3) (b) A minor 14 years of age or older who has been admitted to an inpatient treatment facility for the primary purpose of treatment for mental illness or developmental disability Prior to or at admission, a minor who is voluntarily admitted under sub. (1) (c) 1. or 2., and the minor's parent or guardian , if available, shall also be informed by the director or his or her designee, both orally and in writing, in easily understandable language, of the minor's right to request discharge and to be discharged within 48 hours of the request, as provided under sub. (7) (b), if no petition or statement is filed for emergency detention, or if no petition is filed for emergency commitment, involuntary commitment, or protective placement, and the minor's right to consent to or refuse treatment as provided in s. 51.61 (6).

SB226, s. 12 Section 12. 51.13 (4) (a) (intro.) of the statutes is amended to read:

SB226,9,25 51.13 (4) (a) (intro.) Within 3 days after the admission of a minor under sub. (1), or within 3 days after an application is executed for admission of the minor, whichever occurs first, the treatment director of the facility to which the minor is admitted or, in the case of a center for the developmentally disabled, the director of the center, shall file a verified petition for review of the admission in the court assigned to exercise jurisdiction under chs. 48 and 938 in the county in which the facility is located. A copy of the application for admission and of any relevant professional evaluations shall be attached to the petition. The petition shall contain all of the following:

SB226, s. 13 Section 13. 51.13 (4) (c) of the statutes is amended to read:

SB226,10,6 51.13 (4) (c) A copy of the petition shall be provided by the petitioner to the minor and, if available, his or her parents or guardian within 5 days after admission.

SB226, s. 14 Section 14. 51.13 (4) (d) of the statutes is amended to read:

SB226,11,13 51.13 (4) (d) Within 5 days after the filing of the petition, the court assigned to exercise jurisdiction under chs. 48 and 938 shall determine, based on the allegations of the petition and accompanying documents, whether there is a prima facie showing that the minor is in need of psychiatric services, or services for developmental disability, alcoholism, or drug abuse, that whether the treatment facility offers inpatient therapy or treatment that is appropriate to the minor's needs; and that whether inpatient care in the treatment facility is the least restrictive therapy or treatment consistent with the needs of the minor,; and, if the minor is 14 years of age or older and has been admitted to the treatment facility for the primary purpose of treatment for mental illness or developmental disability, whether the admission is voluntary on the part of the minor was made under an application executed by the minor and the minor's parent or guardian. If such a showing is made, the court shall permit voluntary admission. If the court is unable to make those determinations based on the petition and accompanying documents, the court may dismiss the petition as provided in par. (h); order additional information, including an independent evaluation, to be produced as necessary for the court to make those determinations within 14 days after admission or application for admission, whichever is sooner; or hold a hearing within 14 days after admission or application for admission, whichever is sooner. If a notation of the minor's unwillingness appears on the face of the petition, if the admission was made under an application executed by the minor's parent or guardian despite the minor's refusal, if the minor's parent or guardian has consented to the administration of psychotropic medication to the minor despite the minor's refusal, or if a hearing has been requested by the minor or by the minor's counsel, parent, or guardian, the court shall order an independent evaluation of the minor and hold a hearing to review the admission, within 14 days after admission or application for admission, whichever is sooner, or to review the administration of psychotropic medication, and shall appoint counsel to represent the minor if the minor is unrepresented. If the court considers it necessary, the court shall also appoint a guardian ad litem to represent the minor. The minor may receive assistance from the state protection and advocacy agency designated under s. 51.62 (2) (a).

SB226, s. 15 Section 15. 51.13 (4) (g) (intro.) of the statutes is amended to read:

SB226,12,5 51.13 (4) (g) (intro.) If the court finds, under a hearing under par. (d), that the minor is in need of psychiatric services or services for developmental disability, alcoholism, or drug abuse in an inpatient facility, that the inpatient facility to which the minor is admitted offers therapy or treatment that is appropriate for the minor's needs and that is the least restrictive therapy or treatment consistent with the minor's needs, and, in the case of a minor 14 years of age or older who is being admitted for the primary purpose of treatment for mental illness or developmental disability, that the application is voluntary on the part of the minor, the court shall permit voluntary admission. If the court finds that the therapy or treatment in the inpatient facility to which the minor is admitted is not appropriate or is not the least restrictive therapy or treatment consistent with the minor's needs, the court may order placement in or transfer to another more appropriate or less restrictive inpatient facility, except that the court may not permit or order placement in or transfer to the northern or southern centers for the developmentally disabled of a minor unless the department gives approval for the placement or transfer, and if the order of the court is shall first be approved by all of the following if applicable:

SB226, s. 16 Section 16. 51.13 (4) (g) 1. of the statutes is renumbered 51.13 (4) (g) 1. (intro.) and amended to read:

SB226,12,10 51.13 (4) (g) 1. The minor if he or she is 14 years of age or older and is being admitted for For the primary purpose of treatment for mental illness or developmental disability., any of the following, as applicable:

SB226, s. 17 Section 17. 51.13 (4) (g) 1. a. of the statutes is created to read:

SB226,12,13 51.13 (4) (g) 1. a. For a minor who is under 14 years of age, a parent who has legal custody of the minor or the minor's guardian.

SB226, s. 18 Section 18. 51.13 (4) (g) 1. b. of the statutes is created to read:

SB226,12,18 51.13 (4) (g) 1. b. For a minor who is 14 years of age or older, the minor and a parent who has legal custody of the minor or the minor's guardian, except that, if the minor refuses approval, a parent who has legal custody of the minor or the minor's guardian may provide approval on the minor's behalf.

SB226, s. 19 Section 19. 51.13 (4) (g) 1. c. of the statutes is created to read:

SB226,12,20 51.13 (4) (g) 1. c. For a minor admitted under sub. (1) (c) 1. or 2., the minor.

SB226, s. 20 Section 20. 51.13 (4) (g) 4. of the statutes is created to read:

SB226,12,22 51.13 (4) (g) 4. The department.

SB226, s. 21 Section 21. 51.13 (4) (h) (intro.) of the statutes is amended to read:

SB226,12,25 51.13 (4) (h) (intro.) If the court does not permit voluntary admission under par. (g), it shall do one of the following:

SB226, s. 22 Section 22. 51.13 (6) (a) of the statutes is renumbered 51.13 (6) (a) 1. and amended to read:

SB226,13,8 51.13 (6) (a) 1. A Subject to subd. 2. or 3., as applicable, a minor may be admitted to an inpatient treatment facility without review under sub. (4) of the application under sub. (4), for diagnosis and evaluation or for dental, medical, or psychiatric services, for a period not to exceed 12 days. The application for short-term admission of a minor shall be executed by the minor's parent with legal custody of the minor or the minor's guardian, and if unless sub. (1) (c) applies.

SB226,13,14 2. If the minor is 14 years of age or older and is being admitted for the primary purpose of diagnosis, evaluation, or services for mental illness or developmental disability, the application shall be executed by the minor's parent or guardian and the minor., except that, if the minor refuses to execute the application, the parent or the guardian may execute the application. Admission under this subdivision of a minor who refuses to execute the application is reviewable under sub. (4) (d).

SB226,13,17 3. A minor may not be readmitted to an inpatient treatment facility for psychiatric services under this paragraph within 120 days of a previous admission under this paragraph.

SB226, s. 23 Section 23. 51.13 (6) (c) of the statutes is amended to read:

SB226,13,22 51.13 (6) (c) At the end of the 12-day period, the minor shall be released unless an application has been filed for voluntary admission under sub. (1) or a petition or; a statement has been filed for emergency detention, ; or a petition has been filed for emergency commitment, involuntary commitment, or protective placement.

SB226, s. 24 Section 24. 51.13 (7) (title) of the statutes is amended to read:

SB226,13,24 51.13 (7) (title) Discharge or continued appropriateness of admission.

SB226, s. 25 Section 25. 51.13 (7) (a) of the statutes is amended to read:

SB226,14,13 51.13 (7) (a) If a minor is admitted to an inpatient treatment facility while under 14 years of age, and if upon reaching age 14 is in need of further inpatient care and treatment primarily for mental illness or developmental disability, the director of the facility shall request the minor and the minor's parent or guardian to execute an application for voluntary admission. If the minor refuses, the minor's parent or guardian may execute the application on the minor's behalf. Such an application may be executed within 30 days prior to a minor's 14th birthday. If the application is executed, a petition for review shall be filed in the manner prescribed in sub. (4), unless such a review has been held within the last 120 days. If the application is not executed by the time of the minor's 14th birthday, the minor shall be discharged unless a petition or statement is filed for emergency detention, emergency commitment, involuntary commitment, or protective placement by the end of the next day in which the court transacts business.

SB226, s. 26 Section 26. 51.13 (7) (b) of the statutes is renumbered 51.13 (7) (b) 1. and amended to read:

SB226,14,19 51.13 (7) (b) 1. Any minor 14 years of age or older who is voluntarily admitted under this section for the primary purpose of treatment for mental illness or developmental disability, and any minor who is voluntarily admitted under sub. (1) (c) 1. or 2., may request discharge in writing. In the case of

SB226,14,25 2. For a minor 14 years of age or older who is voluntarily admitted under this section sub. (1) (a) or (b) for the primary purpose of treatment for alcoholism or drug abuse or a minor under 14 years of age who is voluntarily admitted under this section sub. (1) (a) or (b) for the primary purpose of treatment for mental illness, developmental disability, alcoholism, or drug abuse, the parent or guardian of the minor may make the request. discharge in writing.

SB226,15,3 4. Upon receipt of any form of written request for discharge from a minor specified under subd. 1. or 3., the director of the facility in which the minor is admitted shall immediately notify the minor's parent or guardian. The, if available.

SB226,15,10 5. A minor specified in subd. 1., a minor specified in subd. 2. whose parent or guardian requests discharge in writing, and a minor specified in subd. 3. who requests and whose parent or guardian requests discharge in writing shall be discharged within 48 hours after submission of the request, exclusive of Saturdays, Sundays, and legal holidays, unless a petition or statement is filed for emergency detention, emergency commitment, involuntary commitment, or protective placement.

SB226, s. 27 Section 27. 51.13 (7) (b) 3. of the statutes is created to read:

SB226,15,21 51.13 (7) (b) 3. For a minor 14 years of age or older who is admitted under sub. (1) (a) or (b) for the primary purpose of treatment for mental illness or developmental disability, the minor and the minor's parent or guardian may request discharge in writing. If the parent or guardian of the minor refuses to request discharge and if the director of the facility to which the minor is admitted or his or her designee avers, in writing, that the minor is in need of psychiatric services or services for developmental disability, that the facility's therapy or treatment is appropriate to the minor's needs, and that inpatient care in the treatment facility is the least restrictive therapy or treatment consistent with the needs of the minor, the minor may not be discharged under this paragraph.

SB226, s. 28 Section 28. 51.13 (7) (c) of the statutes is amended to read:

SB226,16,20 51.13 (7) (c) Any minor 14 years of age or older who is voluntarily admitted under this section for the primary purpose of treatment for alcoholism or drug abuse, and who is not discharged under par. (b), and any minor under 14 years of age who is voluntarily admitted under this section for the primary purpose of treatment for mental illness, developmental disability, alcoholism, or drug abuse, and, other than a minor to which par. (b) 1. applies, who is not discharged under par. (b), may submit a written request to the court for a hearing to determine the continued appropriateness of the admission. If the director or staff of the inpatient treatment facility to which a minor described in this paragraph is admitted observes conduct by the minor that demonstrates an unwillingness to remain at the facility, including but not limited to a written expression of opinion or unauthorized absence, the director shall file a written request with the court to determine the continued appropriateness of the admission. A request that is made personally by a minor under this paragraph shall be signed by the minor but need not be written or composed by the minor. A request for a hearing under this paragraph that is received by staff or the director of the facility in which the child minor is admitted shall be filed with the court by the director. The court shall order a hearing as provided in sub. (4) (d) upon request if no hearing concerning the minor's admission has been held within 120 days after before court receipt of the request. The court shall appoint counsel and, if the court considers it necessary, a guardian ad litem to represent the minor and if If a hearing is held, the court shall hold the hearing within 14 days after receipt of the request, unless the parties agree to a longer period. After the hearing, the court shall make disposition dispose of the matter in the manner provided in sub. (4) (h).

SB226, s. 29 Section 29. 51.135 of the statutes is created to read:

SB226,16,25 51.135 Administration of psychotropic medication to minors. (1) (a) A parent with legal custody or the guardian of a minor under 14 years of age shall provide written, informed consent for the administration of psychotropic medication to the minor as inpatient or outpatient treatment for mental illness.

SB226,17,10 (b) A parent with legal custody or the guardian of a minor 14 years of age or older and the minor shall provide written, informed consent for the administration of psychotropic medication to the minor as inpatient or outpatient treatment for mental illness, except that, if the minor refuses to consent to administration of the psychotropic medication, the parent or guardian may provide consent on the minor's behalf. Administration of psychotropic medication as inpatient treatment to a minor under this paragraph who refuses to consent is reviewable under a hearing under s. 51.13 (4) (d). Section 51.14 (3) (a) applies to a minor under this paragraph who refuses to consent to the administration of psychotropic medication as outpatient treatment.

SB226,17,24 (2) If a minor wishes to provide written, informed consent for the administration of psychotropic medication as inpatient or outpatient treatment of the minor for mental illness, but the minor's parent with legal custody or guardian refuses to consent to administration of the psychotropic medication or cannot be found, or if there is no person with legal custody, the minor or a person acting on the minor's behalf may petition the court assigned to exercise jurisdiction under chs. 48 and 938 in the county of residence of the minor's parent or guardian for approval of the administration. A copy of the petition and a notice of hearing shall be served upon the parent or guardian at his or her last-known address. If, after a hearing, the court determines that the consent of the parent or guardian is being unreasonably withheld, that the parent or guardian cannot be found, or that there is no person with legal custody, and that the administration is appropriate to the minor's needs, the court shall approve the administration of the psychotropic medication without the consent of the parent or guardian.

SB226, s. 30 Section 30. 51.14 (title) of the statutes is amended to read:

SB226,18,1 51.14 (title) Outpatient mental health treatment of minors.

SB226, s. 31 Section 31. 51.14 (1) of the statutes is amended to read:

SB226,18,6 51.14 (1) Definitions. In this section, "outpatient mental health treatment" means treatment and social services for mental illness, except psychotropic medications and 24-hour care, treatment, and custody, that is provided by a treatment facility.

SB226, s. 32 Section 32. 51.14 (1m) of the statutes is created to read:

SB226,18,9 51.14 (1m) Consent to treatment. A parent who has legal custody of a minor under

SB226,18,15 . 14 years of age or the minor's guardian may provide informed consent to outpatient treatment for mental illness for the minor. A minor 14 years of age or older and a parent who has legal custody of the minor or the minor's guardian may provide informed consent to outpatient treatment for mental illness for the minor, except that, if the minor refuses to consent, the parent or guardian may provide informed consent to the outpatient treatment on the minor's behalf.

SB226, s. 33 Section 33. 51.14 (3) (a) of the statutes is amended to read:

SB226,18,24 51.14 (3) (a) Either a A minor 14 years of age or older or his or her parent or guardian may petition the mental health review officer in the county in which the minor's parent or guardian has residence for a review of a refusal or inability of either the minor or his or her the minor's parent or guardian to provide the informed consent for outpatient mental health treatment required under s. 51.61 (6) sub. (1m). A petition for review by the mental health officer shall be filed by or on behalf of a minor on whose behalf consent was provided under sub. (1m) by the minor's parent or guardian despite the minor's refusal.

SB226, s. 34 Section 34. 51.14 (3) (b) 3. of the statutes is amended to read:

SB226,19,2 51.14 (3) (b) 3. The facts substantiating the petitioner's belief that the minor needs, or does not need, outpatient mental health treatment.

SB226, s. 35 Section 35. 51.14 (3) (f) of the statutes is amended to read:

SB226,19,7 51.14 (3) (f) If prior to a hearing under par. (g) either the minor or his or her parent or guardian requests and the mental health review officer determines that the best interests of the minor would be served, a petition may be filed for court review under sub. (4) without further review under this subsection.

SB226, s. 36 Section 36. 51.14 (3) (g) of the statutes is amended to read:

SB226,19,15 51.14 (3) (g) Within 21 days after the filing of a petition under this subsection, the mental health review officer shall hold a hearing on the refusal or inability of the minor or the minor's parent or guardian to provide informed consent for outpatient treatment or on the provision of informed consent by the parent or guardian despite the minor's refusal. The mental health review officer shall provide notice of the date, time and place of the hearing to the minor and, if available, the minor's parent or guardian at least 96 hours prior to the hearing.

SB226, s. 37 Section 37. 51.14 (3) (h) (intro.) of the statutes is amended to read:

SB226,20,2 51.14 (3) (h) (intro.) If following the hearing under par. (g) and after taking into consideration the recommendations, if any, of the county department under s. 51.42 or 51.437 made under par. (e), the mental health review officer finds all of the following, he or she shall issue a written order that, notwithstanding the written, informed consent requirement of s. 51.61 (6) sub. (1m), the written, informed consent of the minor, if the minor is refusing to provide consent, or the written, informed consent of the minor's parent or guardian, if the parent or guardian is refusing or unable to provide consent, is not required for outpatient mental health treatment for the minor or, if the parent or guardian provided informed consent despite the minor's refusal, the outpatient mental health treatment for the minor is appropriate:

SB226, s. 38 Section 38. 51.14 (3) (h) 1. of the statutes is amended to read:

SB226,20,5 51.14 (3) (h) 1. The informed consent of the parent or guardian is unreasonably withheld or the refusal of the minor to provide informed consent is unreasonable.

SB226, s. 39 Section 39. 51.14 (3) (j) of the statutes is amended to read:

SB226,20,8 51.14 (3) (j) The mental health review officer shall notify the minor and the minor's parent or guardian, if available, of the right to judicial review under sub. (4).

SB226, s. 40 Section 40. 51.14 (4) (a) of the statutes is amended to read: