51.13(4)(a)6.
6. Notation of any statement made or conduct demonstrated by the minor in the presence of the director or staff of the facility indicating that inpatient treatment is against the wishes of the minor.
51.13 Note
NOTE: Par. (a) is shown as affected by two acts of the 1995 legislature and as merged by the revisor under s. 13.93 (2) (c).
51.13(4)(b)
(b) If hardship would otherwise occur and if the best interests of the minor would be served thereby, the court may, on its own motion or on the motion of any interested party, remove the petition to the court assigned to exercise jurisdiction under
chs. 48 and
938 of the county of residence of the parent or guardian.
51.13(4)(c)
(c) A copy of the petition shall be provided by the petitioner to the minor and his or her parents or guardian within 5 days of admission.
51.13(4)(d)
(d) Within 5 days of 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 the admission is voluntary on the part of the minor if the minor is 14 years of age or older and 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 the treatment facility offers inpatient therapy or treatment which 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. If such a showing is made, the court shall permit voluntary admission. If the court is unable to make such determinations based on the petition and accompanying documents, it shall dismiss the petition as provided in
par. (h); or order additional information to be produced as it deems necessary to make such review, and make such determinations within 14 days of admission or application for admission, whichever is sooner; or it may hold a hearing within 14 days of admission or application for admission, whichever is sooner. If a notation of the minor's unwillingness appears on the face of the petition, or if a hearing has been requested by the minor, the minor's counsel, parent or guardian, the court shall hold a hearing to review the admission within 14 days of admission or application for admission, whichever is sooner, and shall appoint counsel to represent the minor if the minor is unrepresented. If the court deems it necessary, it shall also appoint a guardian ad litem to represent the minor.
51.13(4)(e)
(e) Notice of the hearing under this subsection shall be provided by the court by certified mail to the minor, the minor's parents or guardian, the minor's counsel and guardian ad litem if any, the petitioner and any other interested party at least 96 hours prior to the time of hearing.
51.13(4)(f)
(f) The rules of evidence in civil actions shall apply to any hearing under this section. A record shall be maintained of the entire proceedings. The record shall include findings of fact and conclusions of law. Findings shall be based on a clear and convincing standard of proof.
51.13(4)(g)
(g) If the court finds 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 which is appropriate for the minor's needs and which is the least restrictive therapy or treatment consistent with the minor's needs and, in the case of a minor aged 14 or older, the application is voluntary on the part of the minor, it 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 approved by all of the following if applicable:
51.13(4)(g)2.
2. The treatment director of the facility or his or her designee.
51.13(4)(g)3.
3. 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 or treatment.
51.13(4)(h)
(h) If the court does not permit voluntary admission under
par. (g), it shall do one of the following:
51.13(4)(h)1.
1. Dismiss the petition and order the application for admission denied and the minor released.
51.13(4)(h)2.
2. Order the petition to be treated as a petition for involuntary commitment and refer it to the court where the review under this section was held, or if it was not held in the county of legal residence of the subject individual's parent or guardian and hardship would otherwise occur and if the best interests of the subject individual would be served thereby, to the court assigned to exercise jurisdiction under
chs. 48 and
938 in such county for a hearing under
s. 51.20 or
51.45 (13).
51.13(4)(h)3.
3. If the minor is 14 years of age or older and appears to be developmentally disabled, proceed in the manner provided in
s. 51.67 to determine whether the minor should receive protective placement or protective services, except that a minor shall not have a temporary guardian appointed if he or she has a parent or guardian.
51.13(4)(i)
(i) Approval of an admission under this subsection does not constitute a finding of mental illness, developmental disability, alcoholism or drug dependency.
51.13(5)
(5) Appeal. Any person who is aggrieved by a determination or order under this section and who is directly affected thereby may appeal to the court of appeals under
s. 809.40.
51.13(6)(a)(a) A minor may be admitted to an inpatient treatment facility without review 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 or guardian, and by the minor if he or she is 14 years of age or older. 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.
51.13(6)(b)
(b) The application shall be reviewed by the treatment director of the facility or, in the case of a center for the developmentally disabled, by the director, and shall be accepted only if the director determines that the admission constitutes the least restrictive means of obtaining adequate diagnosis and evaluation of the minor or adequate provision of medical, dental or psychiatric services.
51.13(6)(c)
(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 statement has been filed for emergency detention, emergency commitment, involuntary commitment or protective placement.
51.13(7)(a)(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, the director of the facility shall request the minor and the minor's parent or guardian to execute an application for voluntary admission. 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.
51.13(7)(b)
(b) Any minor 14 years of age or over voluntarily admitted under this section may request discharge in writing. Upon receipt of any form of written request for discharge, the director of the facility in which the minor is admitted shall immediately notify the minor's parent or guardian. The minor 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.
51.13(7)(c)
(c) Any minor under 14 years of age who is voluntarily admitted under this section 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 under the age of 14 is admitted observes conduct by the minor which 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 which is made personally by a minor under this paragraph shall be signed by the minor but need not be written or composed by him or her. A request for a hearing under this paragraph which is received by staff or the director of the facility in which the child is admitted shall be filed with the court by the director. The court shall order a hearing upon request if no hearing concerning the minor's admission has been held within 120 days of receipt of the request. The court shall appoint counsel and, if the court deems it necessary, a guardian ad litem to represent the minor and if a hearing is held shall hold the hearing within 14 days of the request, unless the parties agree to a longer period. After the hearing, the court shall make disposition of the matter in the manner provided in
sub. (4).
51.13 Annotation
Due process rights of minor child whose parents or guardians seek admission of child discussed. Parham v. J. R., 442 US 584 (1979). See also Secy. of Publ. Welf. v. Institutionalized Juveniles, 442 US 640 (1979).
51.14
51.14
Outpatient treatment of minors. 51.14(1)
(1)
Definitions. In this section, "outpatient mental health treatment" means treatment and social services for mental illness, except psychotropic medications and 24-hour care and custody, provided by a treatment facility.
51.14(2)
(2) Mental health review officer. Each court assigned to exercise jurisdiction under
chs. 48 and
938 shall designate a mental health review officer to review petitions filed under
sub. (3).
51.14(3)
(3) Review by mental health review officer. 51.14(3)(a)(a) Either 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 parent or guardian has residence for a review of a refusal of either the minor or his or her parent or guardian to provide the informed consent for outpatient mental health treatment required under
s. 51.61 (6).
51.14(3)(b)
(b) A petition filed under this subsection shall contain all of the following:
51.14(3)(b)2.
2. The name and address of the parent or guardian of the minor.
51.14(3)(b)3.
3. The facts substantiating the petitioner's belief that the minor needs outpatient mental health treatment.
51.14(3)(b)4.
4. Any available information which substantiates the appropriateness of the particular treatment sought for the minor and that the particular treatment sought is the least restrictive treatment consistent with the needs of the minor.
51.14(3)(c)
(c) Any professional evaluations relevant under
par. (b) 3. or
4. shall be attached to the petition filed under this subsection.
51.14(3)(d)
(d) The court which appointed the mental health review officer shall ensure that necessary assistance is provided to the petitioner in the preparation of the petition under this subsection.
51.14(3)(e)
(e) The mental health review officer shall notify the county department under
s. 51.42 or
51.437 of the contents of any petition received by the mental health review officer under this subsection. The county department under
s. 51.42 or
51.437 may, following review of the petition contents, make recommendations to the mental health review officer as to the need for and appropriateness and availability of treatment.
51.14(3)(f)
(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.
51.14(3)(g)
(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 of the minor or the minor's parent or guardian to provide informed consent for outpatient treatment. The mental health review officer shall provide notice of the date, time and place of the hearing to the minor and the minor's parent or guardian at least 96 hours prior to the hearing.
51.14(3)(h)
(h) 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), 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 to provide consent, is not required for outpatient mental health treatment for the minor:
51.14(3)(h)3.
3. The particular treatment sought is appropriate for the minor and is the least restrictive treatment available.
51.14(3)(h)4.
4. The proposed treatment is in the best interests of the minor.
51.14(3)(i)
(i) The findings under
par. (h) and the reasons supporting each finding shall be in writing.
51.14(3)(j)
(j) The mental health review officer shall notify the minor and the minor's parent or guardian of the right to judicial review under
sub. (4).
51.14(3)(k)
(k) No person may be a mental health review officer in a proceeding under this section if he or she has provided treatment or services to the minor who is the subject of the proceeding.
51.14(4)(a)(a) Within 21 days after the issuance of the order by the mental health review officer under
sub. (3) or if the requirements of
sub. (3) (f) are satisfied, the minor or his or her parent or guardian may petition a court assigned to exercise jurisdiction under
ch. 48 in the county of residence of the minor's parent or guardian for a review of the refusal of either the minor or his or her parent or guardian to provide the informed consent for outpatient mental health treatment required under
s. 51.61 (6).
51.14(4)(b)
(b) The petition in
par. (a) shall conform to the requirements set forth in
sub. (3) (b). If the minor has refused to provide informed consent, a notation of this fact shall be made on the face of the petition.
51.14(4)(c)
(c) If a notation of a minor's refusal to provide informed consent to outpatient mental health treatment appears on the petition, the court shall, at least 7 days prior to the time scheduled for the hearing, appoint counsel to represent the minor if the minor is unrepresented. If the minor's parent or guardian has refused to provide informed consent and the minor is unrepresented, the court shall appoint counsel to represent the minor, if requested by the minor or determined by the court to be in the best interests of the minor.
51.14(4)(d)
(d) The court shall hold a hearing on the petition within 21 days after filing of the petition.
51.14(4)(e)
(e) Notice of the hearing under this subsection shall be provided by the court by certified mail, at least 96 hours prior to the hearing, to the minor, the minor's parent or guardian, the minor's counsel and guardian ad litem, if any, and any other interested party known to the court.
51.14(4)(f)
(f) The rules of evidence in civil actions shall apply to any hearing under this section. A record, including written findings of fact and conclusions of law, shall be maintained of the entire proceedings. Findings shall be based on evidence that is clear, satisfactory and convincing.
51.14(4)(g)
(g) After the hearing under this subsection, the court shall issue a written order stating that, notwithstanding the written, informed consent requirement of
s. 51.61 (6), the written, informed consent of the minor, if the minor refuses to provide consent, or the written, informed consent of the parent or guardian, if the parent or guardian refuses to provide consent, is not required for outpatient mental health treatment for the minor if the court finds all of the following:
51.14(4)(g)3.
3. The particular treatment sought is appropriate for the minor and is the least restrictive treatment available.
51.14(4)(g)4.
4. The treatment is in the best interests of the minor.
51.14(5)
(5) Appeal. Any person who is aggrieved by a determination or order under
sub. (4) and who is directly affected by the determination or order may appeal to the court of appeals under
s. 809.40.
51.14(6)
(6) Finding or order not a finding of mental illness. A finding or order under this section does not constitute a finding of mental illness.
51.14 History
History: 1987 a. 367;
1995 a. 77.
51.14 Note
NOTE: 1987 Wis. Act 367, that created this section, contains a prefatory note and an explanatory note following the section.
51.15
51.15
Emergency detention. 51.15(1)(a)(a) A law enforcement officer or other person authorized to take a child into custody under
ch. 48 or
938 may take an individual into custody if the officer or person has cause to believe that such individual is mentally ill or, except as provided in
subd. 5., is drug dependent or developmentally disabled, and that the individual evidences any of the following:
51.15 Note
NOTE: Par. (a) (intro.) is shown as affected by two acts of the 1995 legislature and as merged by the revisor under s. 13.93 (2) (c).
Effective date note
NOTE: Par. (a) (intro.) is repealed and recreated eff. 12-1-01 by
1995 Wis. Act 292 to read:
Effective date text
(a) A law enforcement officer or other person authorized to take a child into custody under ch. 48 may take an individual into custody if the officer or person has cause to believe that such individual is mentally ill, drug dependent or developmentally disabled, and that the individual evidences any of the following:
51.15(1)(a)1.
1. A substantial probability of physical harm to himself or herself as manifested by evidence of recent threats of or attempts at suicide or serious bodily harm.
51.15(1)(a)2.
2. A substantial probability of physical harm to other persons as manifested by evidence of recent homicidal or other violent behavior on his or her part, or by evidence that others are placed in reasonable fear of violent behavior and serious physical harm to them, as evidenced by a recent overt act, attempt or threat to do serious physical harm on his or her part.
51.15(1)(a)3.
3. A substantial probability of physical impairment or injury to himself or herself due to impaired judgment, as manifested by evidence of a recent act or omission. The probability of physical impairment or injury is not substantial under this subdivision if reasonable provision for the individual's protection is available in the community and there is a reasonable probability that the individual will avail himself or herself of these services or, in the case of a minor, if the individual is appropriate for services or placement under
s. 48.13 (4) or
(11) or
938.13 (4). Food, shelter or other care provided to an individual who is substantially incapable of obtaining the care for himself or herself, by any person other than a treatment facility, does not constitute reasonable provision for the individual's protection available in the community under this subdivision.
51.15(1)(a)4.
4. Behavior manifested by a recent act or omission that, due to mental illness or drug dependency, he or she is unable to satisfy basic needs for nourishment, medical care, shelter or safety without prompt and adequate treatment so that a substantial probability exists that death, serious physical injury, serious physical debilitation or serious physical disease will imminently ensue unless the individual receives prompt and adequate treatment for this mental illness or drug dependency. No substantial probability of harm under this subdivision exists if reasonable provision for the individual's treatment and protection is available in the community and there is a reasonable probability that the individual will avail himself or herself of these services, if the individual can receive protective placement under
s. 55.06 or, in the case of a minor, if the individual is appropriate for services or placement under
s. 48.13 (4) or
(11) or
938.13 (4). The individual's status as a minor does not automatically establish a substantial probability of death, serious physical injury, serious physical debilitation or serious disease under this subdivision. Food, shelter or other care provided to an individual who is substantially incapable of providing the care for himself or herself, by any person other than a treatment facility, does not constitute reasonable provision for the individual's treatment or protection available in the community under this subdivision.
51.15(1)(a)5.
5. For an individual, other than an individual who is believed to be drug dependent or developmentally disabled, all of the following:
51.15(1)(a)5.a.
a. After the advantages and disadvantages of and alternatives to accepting a particular medication or treatment have been explained to him or her and because of mental illness, either incapability of expressing an understanding of the advantages and disadvantages of accepting medication or treatment and the alternatives, or substantial incapability of applying an understanding of the advantages, disadvantages and alternatives to his or her mental illness in order to make an informed choice as to whether to accept or refuse medication or treatment.
51.15(1)(a)5.b.
b. A substantial probability, as demonstrated by both the individual's treatment history and his or her recent acts or omissions, that the individual needs care or treatment to prevent further disability or deterioration and a substantial probability that he or she will, if left untreated, lack services necessary for his or her health or safety and suffer severe mental, emotional or physical harm that will result in the loss of the individual's ability to function independently in the community or the loss of cognitive or volitional control over his or her thoughts or actions. The probability of suffering severe mental, emotional or physical harm is not substantial under this
subd. 5. b. if reasonable provision for the individual's care or treatment is available in the community and there is a reasonable probability that the individual will avail himself or herself of these services or if the individual is appropriate for protective placement under
s. 55.06. Food, shelter or other care that is provided to an individual who is substantially incapable of obtaining food, shelter or other care for himself or herself by any person other than a treatment facility does not constitute provision for the individual's care or treatment in the community reasonable under this
subd. 5. b. The individual's status as a minor does not automatically establish a substantial probability of suffering severe mental, emotional or physical harm under this
subd. 5. b.
51.15(1)(a)5.c.
c. This subdivision does not apply after November 30, 2001.
51.15(1)(b)
(b) The officer's or other person's belief shall be based on any of the following:
51.15(1)(b)1.
1. A specific recent overt act or attempt or threat to act or omission by the individual which is observed by the officer or person.
51.15(1)(b)2.
2. A specific recent overt act or attempt or threat to act or omission by the individual which is reliably reported to the officer or person by any other person, including any probation and parole agent authorized by the department of corrections to exercise control and supervision over a probationer or parolee.
51.15(1)(c)1.1. If proposed detention or detention of an individual under
par. (a) is based on
par. (a) 5., the proposed detention or detention shall be reviewed and approved or disapproved by the attorney general or by his or her designee prior to or within 12 hours after the detention.
51.15(1)(c)2.
2. If the attorney general or his or her designee disapproves or fails to act with respect to a proposed detention under
subd. 1., the individual may not be detained based on
par. (a) 5. If the attorney general or his or her designee disapproves or fails to act with respect to a detention under
subd. 1., the individual shall be released.
51.15(1)(c)4.
4. This paragraph does not apply after November 30, 2001.
