51.45(13)(f)
(f) The hearing shall be open, unless the person sought to be committed or the person's attorney moves that it be closed, in which case only persons in interest, including representatives of the county department in all cases, and their attorneys and witnesses may be present. At the hearing the jury, or, if trial by jury is waived, the court, shall consider all relevant evidence, including, if possible, the testimony of at least one licensed physician who has examined the person whose commitment is sought. Ordinary rules of evidence shall apply to any such proceeding. The person whose commitment is sought shall be present and shall be given an opportunity to be examined by a court-appointed licensed physician. If the person refuses and there is sufficient evidence to believe that the allegations of the petition are true, or if the court believes that more medical evidence is necessary, the court may make a temporary order committing the person to the county department for a period of not more than 5 days for purposes of diagnostic examination.
51.45(13)(g)1.1. The court shall make an order of commitment to the county department if, after hearing all relevant evidence, including the results of any diagnostic examination, the trier of fact finds all of the following:
51.45(13)(g)1.a.
a. That the allegations of the petition under
par. (a) have been established by clear and convincing evidence.
51.45(13)(g)1.b.
b. That there is a relationship between the alcoholic condition and the pattern of conduct during the 12-month period immediately preceding the time of petition which is dangerous to the person or others and that this relationship has been established to a reasonable medical certainty.
51.45(13)(g)1.c.
c. That there is an extreme likelihood that the pattern of conduct will continue or repeat itself without the intervention of involuntary treatment or institutionalization.
51.45(13)(g)2.
2. The court may not order commitment of a person unless it is shown by clear and convincing evidence that there is no suitable alternative available for the person and that the county department is able to provide appropriate and effective treatment for the individual.
51.45(13)(h)
(h) A person committed under this subsection shall remain in the custody of the county department for treatment for a period set by the court, but not to exceed 90 days. During this period of commitment the county department may transfer the person from one approved public treatment facility or program to another as provided in
par. (k). At the end of the period set by the court, the person shall be discharged automatically unless the county department before expiration of the period obtains a court order for recommitment upon the grounds set forth in
par. (a) for a further period not to exceed 6 months. If after examination it is determined that the person is likely to inflict physical harm on himself or herself or on another, the county department shall apply for recommitment. Only one recommitment order under this paragraph is permitted.
51.45(13)(j)
(j) Upon the filing of a petition for recommitment under
par. (h), the court shall fix a date for a recommitment hearing within 10 days, assure that the person sought to be recommitted is represented by counsel and, if the person is indigent, appoint counsel for him or her, unless waived. The provisions of
par. (e) relating to notice and to access to records, names of witnesses and summaries of their testimony shall apply to recommitment hearings under this paragraph. At the recommitment hearing, the court shall proceed as provided under
pars. (f) and
(g).
51.45(13)(k)
(k) The county department shall provide for adequate and appropriate treatment of a person committed to its custody. Any person committed or recommitted to custody may be transferred by the county department from one approved public treatment facility or program to another upon the written application to the county department from the facility or program treating the person. Such application shall state the reasons why transfer to another facility or program is necessary to meet the treatment needs of the person. Notice of such transfer and the reasons therefor shall be given to the court, the person's attorney and the person's immediate family, if they can be located.
51.45(13)(L)
(L) If an approved private treatment facility agrees with the request of a competent patient or a parent, sibling, adult child, or guardian to accept the patient for treatment, the county department may transfer the person to the private treatment facility.
51.45(13)(m)
(m) A person committed under this section may at any time seek to be discharged from commitment by habeas corpus proceedings.
51.45(13)(n)
(n) The venue for proceedings under this subsection is the place in which the person to be committed resides or is present.
51.45(13)(o)
(o) All fees and expenses incurred under this section which are required to be assumed by the county shall be governed by
s. 51.20 (19).
51.45(13)(p)
(p) A record shall be made of all proceedings held under this subsection. Transcripts shall be made available under
SCR 71.04. The county department may in any case request a transcript.
51.45(14)
(14) Confidentiality of records of patients. 51.45(14)(a)(a) Except as otherwise provided in
s. 51.30, the registration and treatment records of alcoholism treatment programs and facilities shall remain confidential and are privileged to the patient. The application of
s. 51.30 is limited by any rule promulgated under
s. 51.30 (4) (c) for the purpose of protecting the confidentiality of alcoholism treatment records in conformity with federal requirements.
51.45(14)(b)
(b) Any person who violates this subsection shall forfeit not more than $5,000.
51.45(15)(a)(a) Except as provided in
s. 51.61 (2), a person being treated under this section does not thereby lose any legal rights.
51.45(15)(b)
(b) No provisions of this section may be deemed to contradict any rules or regulations governing the conduct of any inmate of a state or county correctional institution who is being treated in an alcoholic treatment program within the institution.
51.45(15)(c)
(c) A private or public general hospital may not refuse admission or treatment to a person in need of medical services solely because that person is an "alcoholic", "incapacitated by alcohol" or is an "intoxicated person" as defined in
sub. (2). This paragraph does not require a hospital to admit or treat the person if the hospital does not ordinarily provide the services required by the person. A private or public general hospital which violates this paragraph shall forfeit not more than $500.
51.45(16)(a)(a) Liability for payment for care, services and supplies provided under this section, the collection and enforcement of such payments, and the adjustment and settlement with the several counties for their proper share of all moneys collected under
s. 46.10, shall be governed exclusively by
s. 46.10.
51.45(16)(b)
(b) Payment for treatment of persons treated under
s. 302.38 shall be made under that section.
51.45(16)(c)
(c) Payment of attorney fees for appointed attorneys in the case of children and indigents shall be in accordance with
ch. 977.
51.45(17)
(17) Applicability of other laws; procedure. 51.45(17)(a)(a) Nothing in this section affects any law, ordinance or rule the violation of which is punishable by fine, forfeiture or imprisonment.
51.45(17)(b)
(b) All administrative procedure followed by the secretary in the implementation of this section shall be in accordance with
ch. 227.
51.45(18)
(18) Construction. This section shall be so applied and construed as to effectuate its general purpose to make uniform the law with respect to the subject of this section insofar as possible among states which enact similar laws.
51.45(19)
(19) Short title. This section may be cited as the "Alcoholism and Intoxication Treatment Act".
Effective date note
History: 1973 c. 198;
1975 c. 200,
428;
1975 c. 430 s.
80;
1977 c. 29;
1977 c. 187 ss.
44,
134,
135;
1977 c. 203 s.
106;
1977 c. 428;
1977 c. 449 s.
497; Sup. Ct. Order, 83 W (2d) xiii (1987);
1979 c. 32 s.
92 (11); Sup. Ct. Order, eff. 1-1-80;
1979 c. 221 ss.
417,
2200 (20);
1979 c. 300,
331,
356;
1981 c. 20;
1981 c. 79 s.
17;
1981 c. 289,
314;
1983 a. 27 ss.
1116 to
1121,
2202 (20);
1985 a. 29 s.
3202 (56);
1985 a. 139;
1985 a. 176 ss.
533 to
556,
615;
1985 a. 265;
1985 a. 332 s.
251 (1);
1987 a. 339,
366;
1989 a. 31,
336,
359;
1991 a. 39;
1993 a. 16,
27,
213,
451,
490;
1995 a. 27 ss.
3268,
3269,
9145 (1);
1995 a. 77,
225.
51.45 Note
Judicial Council Note, 1981: Reference to a "writ" of habeas corpus in sub. (13) (m) has been removed because that remedy is now available in an ordinary action. See s. 781.01, stats., and the note thereto. [Bill 613-A]
51.45 Annotation
See note to 55.06, citing Guardianship & Protective Placement of Shaw, 87 W (2d) 503, 275 NW (2d) 143 (Ct. App. 1979).
51.45 Annotation
One-person petition under (12) is sufficient for commitment only until preliminary hearing; three-person petition under (13) is required for commitment beyond this time period. In Matter of B.A.S.: State v. B.A.S., 134 W (2d) 291, 397 NW (2d) 114 (Ct. App. 1986).
51.45 Annotation
Criminal charges of bail jumping based solely on the consumption of alcohol violate this section. The state is not prevented from making nonconsumption a condition of bail, parole or probation, but the penalty is limited to revocation and it cannot be the basis for a separate criminal charge. State ex rel. Jacobus v. State, 198 W (2d) 783, 544 NW (2d) 234 (Ct. App. 1995).
51.45 Annotation
Persons incapacitated by alcohol who engage in disorderly conduct in treatment facility may be so charged, but not merely for the purpose of arranging for their confinement in jail for security during detoxification. 64 Atty. Gen. 161.
51.45 Annotation
The revision of Wisconsin's law of alcoholism and intoxication. Robb, 58 MLR 88.
51.45 Annotation
Wisconsin's new alcoholism act encourages early voluntary treatment. 1974 WBB No. 3.
51.47
51.47
Alcohol and other drug abuse treatment for minors. 51.47(1)(1) Except as provided in
subs. (2) and
(3), any physician or health care facility licensed, approved or certified by the state for the provision of health services may render preventive, diagnostic, assessment, evaluation or treatment services for the abuse of alcohol or other drugs to a minor 12 years of age or over without obtaining the consent of or notifying the minor's parent or guardian. Unless consent of the minor's parent or guardian is required under
sub. (2), the physician or health care facility shall obtain the minor's consent prior to billing a 3rd party for services under this section. If the minor does not consent, the minor shall be solely responsible for paying for the services, which the department shall bill to the minor under
s. 46.03 (18) (b).
51.47(2)
(2) The physician or health care facility shall obtain the consent of the minor's parent or guardian:
51.47(2)(a)
(a) Before performing any surgical procedure on the minor, unless the procedure is essential to preserve the life or health of the minor and the consent of the minor's parent or guardian is not readily obtainable.
51.47(2)(b)
(b) Before administering any controlled substances to the minor, except to detoxify the minor under
par. (c).
51.47(2)(c)
(c) Before admitting the minor to an inpatient treatment facility, unless the admission is to detoxify the minor for ingestion of alcohol or other drugs.
51.47(2)(d)
(d) If the period of detoxification of the minor under
par. (c) extends beyond 72 hours after the minor's admission as a patient.
51.47(3)
(3) The physician or health care facility shall notify the minor's parent or guardian of any services rendered under this section as soon as practicable.
51.47(4)
(4) No physician or health care facility rendering services under
sub. (1) is liable solely because of the lack of consent or notification of the minor's parent or guardian.
51.47 History
History: 1979 c. 331;
1985 a. 281.
51.47 Annotation
Except for those services for which parental consent is necessary under (2), physician or health care facility may release outpatient or detoxification services information only with consent of minor patient, provided minor is twelve years of age or over.
77 Atty. Gen. 187.
51.59
51.59
Incompetency not implied. 51.59(1)
(1) No person is deemed incompetent to manage his or her affairs, to contract, to hold professional, occupational or motor vehicle operator's licenses, to marry or to obtain a divorce, to vote, to make a will or to exercise any other civil right solely by reason of his or her admission to a facility in accordance with this chapter or detention or commitment under this chapter.
51.59(2)
(2) This section does not authorize an individual who has been involuntarily committed or detained under this chapter to refuse treatment during such commitment or detention, except as provided under
s. 51.61 (1) (g) and
(h).
51.59 History
History: 1977 c. 428;
1987 a. 366.
51.61
51.61
Patients rights. 51.61(1)(1) In this section, "patient" means any individual who is receiving services for mental illness, developmental disabilities, alcoholism or drug dependency, including any individual who is admitted to a treatment facility in accordance with this chapter or
ch. 55 or who is detained, committed or placed under this chapter or
ch. 55,
971,
975 or
980, or who is transferred to a treatment facility under
s. 51.35 (3) or
51.37 or who is receiving care or treatment for those conditions through the department or a county department under
s. 51.42 or
51.437 or in a private treatment facility. "Patient" does not include persons committed under
ch. 975 who are transferred to or residing in any state prison listed under
s. 302.01. In private hospitals and in public general hospitals, "patient" includes any individual who is admitted for the primary purpose of treatment of mental illness, developmental disability, alcoholism or drug abuse but does not include an individual who receives treatment in a hospital emergency room nor an individual who receives treatment on an outpatient basis at those hospitals, unless the individual is otherwise covered under this subsection. Except as provided in
sub. (2), each patient shall:
51.61(1)(a)
(a) Upon admission or commitment be informed orally and in writing of his or her rights under this section. Copies of this section shall be posted conspicuously in each patient area, and shall be available to the patient's guardian and immediate family.
51.61(1)(b)1.1. Have the right to refuse to perform labor which is of financial benefit to the facility in which the patient is receiving treatment or service. Privileges or release from the facility may not be conditioned upon the performance of any labor which is regulated by this paragraph. Patients may voluntarily engage in therapeutic labor which is of financial benefit to the facility if such labor is compensated in accordance with a plan approved by the department and if:
51.61(1)(b)1.a.
a. The specific labor is an integrated part of the patient's treatment plan approved as a therapeutic activity by the professional staff member responsible for supervising the patient's treatment;
51.61(1)(b)1.b.
b. The labor is supervised by a staff member who is qualified to oversee the therapeutic aspects of the activity;
51.61(1)(b)1.c.
c. The patient has given his or her written informed consent to engage in such labor and has been informed that such consent may be withdrawn at any time; and
51.61(1)(b)1.d.
d. The labor involved is evaluated for its appropriateness by the staff of the facility at least once every 120 days.
51.61(1)(b)2.
2. Patients may also voluntarily engage in noncompensated therapeutic labor which is of financial benefit to the facility, if the conditions for engaging in compensated labor under this paragraph are met and if:
51.61(1)(b)2.a.
a. The facility has attempted to provide compensated labor as a first alternative and all resources for providing compensated labor have been exhausted;
51.61(1)(b)2.b.
b. Uncompensated therapeutic labor does not cause layoffs of staff hired by the facility to otherwise perform such labor; and
51.61(1)(b)2.c.
c. The patient is not required in any way to perform such labor. Tasks of a personal housekeeping nature are not to be considered compensable labor.
51.61(1)(b)3.
3. Payment to a patient performing labor under this section shall not be applied to costs of treatment without the informed, written consent of such patient. This paragraph does not apply to individuals serving a criminal sentence who are transferred from a state correctional institution under
s. 51.37 (5) to a treatment facility.
51.61(1)(c)
(c) Have an unrestricted right to send sealed mail and receive sealed mail to or from legal counsel, the courts, governmental officials, private physicians and licensed psychologists, and have reasonable access to letter writing materials including postage stamps. A patient shall also have a right to send sealed mail and receive sealed mail to or from other persons, subject to physical examination in the patient's presence if there is reason to believe that such communication contains contraband materials or objects which threaten the security of patients, prisoners or staff. Such reasons shall be written in the individual's treatment record. The officers and staff of a facility may not read any mail covered by this paragraph.
51.61(1)(d)
(d) Except in the case of a person who is committed for alcoholism, have the right to petition the court for review of the commitment order or for withdrawal of the order or release from commitment as provided in
s. 51.20 (16).
51.61(1)(e)
(e) Except in the case of a patient who is admitted or transferred under
s. 51.35 (3) or
51.37 or under
ch. 971 or
975, have the right to the least restrictive conditions necessary to achieve the purposes of admission, commitment or protective placement, under programs, services and resources that the county board of supervisors is reasonably able to provide within the limits of available state and federal funds and of county funds required to be appropriated to match state funds.
51.61(1)(f)
(f) Have a right to receive prompt and adequate treatment, rehabilitation and educational services appropriate for his or her condition, under programs, services and resources that the county board of supervisors is reasonably able to provide within the limits of available state and federal funds and of county funds required to be appropriated to match state funds.
51.61(1)(fm)
(fm) Have the right to be informed of his or her treatment and care and to participate in the planning of his or her treatment and care.
51.61(1)(g)
(g) Have the following rights, under the following procedures, to refuse medication and treatment:
51.61(1)(g)1.
1. Have the right to refuse all medication and treatment except as ordered by the court under
subd. 2., or in a situation in which the medication or treatment is necessary to prevent serious physical harm to the patient or to others. Medication and treatment during this period may be refused on religious grounds only as provided in
par. (h).
51.61(1)(g)2.
2. At or after the hearing to determine probable cause for commitment but prior to the final commitment order, other than for a subject individual who is alleged to meet the commitment standard under
s. 51.20 (1) (a) 2. e., the court shall, upon the motion of any interested person, and may, upon its own motion, hold a hearing to determine whether there is probable cause to believe that the individual is not competent to refuse medication or treatment and whether the medication or treatment will have therapeutic value and will not unreasonably impair the ability of the individual to prepare for or participate in subsequent legal proceedings. If the court determines that there is probable cause to believe the allegations under this subdivision, the court shall issue an order permitting medication or treatment to be administered to the individual regardless of his or her consent. The order shall apply to the period between the date of the issuance of the order and the date of the final order under
s. 51.20 (13), unless the court dismisses the petition for commitment or specifies a shorter period. The hearing under this subdivision shall meet the requirements of
s. 51.20 (5), except for the right to a jury trial.
Effective date note
NOTE: Subd. 2. is repealed and recreated eff. 12-1-01 by
1995 Wis. Act 292 to read:
Effective date text
2. At or after the hearing to determine probable cause for commitment but prior to the final commitment order, the court shall, upon the motion of any interested person, and may, upon its own motion, hold a hearing to determine whether there is probable cause to believe that the individual is not competent to refuse medication or treatment and whether the medication or treatment will have therapeutic value and will not unreasonably impair the ability of the individual to prepare for or participate in subsequent legal proceedings. If the court determines that there is probable cause to believe the allegations under this subdivision, the court shall issue an order permitting medication or treatment to be administered to the individual regardless of his or her consent. The order shall apply to the period between the date of the issuance of the order and the date of the final order under s. 51.20 (13), unless the court dismisses the petition for commitment or specifies a shorter period. The hearing under this subdivision shall meet the requirements of s. 51.20 (5), except for the right to a jury trial.
51.61(1)(g)3.
3. Following a final commitment order, other than for a subject individual who is determined to meet the commitment standard under
s. 51.20 (1) (a) 2. e., have the right to exercise informed consent with regard to all medication and treatment unless the committing court or the court in the county in which the individual is located, within 10 days after the filing of the motion of any interested person and with notice of the motion to the individual's counsel, if any, the individual and the applicable counsel under
s. 51.20 (4), makes a determination, following a hearing, that the individual is not competent to refuse medication or treatment or unless a situation exists in which the medication or treatment is necessary to prevent serious physical harm to the individual or others. A report, if any, on which the motion is based shall accompany the motion and notice of motion and shall include a statement signed by a licensed physician that asserts that the subject individual needs medication or treatment and that the individual is not competent to refuse medication or treatment, based on an examination of the individual by a licensed physician. The hearing under this subdivision shall meet the requirements of
s. 51.20 (5), except for the right to a jury trial. At the request of the subject individual, the individual's counsel or applicable counsel under
s. 51.20 (4), the hearing may be postponed, but in no case may the postponed hearing be held more than 20 days after a motion is filed.
Effective date note
NOTE: Subd. 3. is repealed and recreated eff. 12-1-01 by
1995 Wis. Act 292 to read:
Effective date text
3. Following a final commitment order, have the right to exercise informed consent with regard to all medication and treatment unless the committing court or the court in the county in which the individual is located, within 10 days after the filing of the motion of any interested person and with notice of the motion to the individual's counsel, if any, the individual and the applicable counsel under s. 51.20 (4), makes a determination, following a hearing, that the individual is not competent to refuse medication or treatment or unless a situation exists in which the medication or treatment is necessary to prevent serious physical harm to the individual or others. A report, if any, on which the motion is based shall accompany the motion and notice of motion and shall include a statement signed by a licensed physician that asserts that the subject individual needs medication or treatment and that the individual is not competent to refuse medication or treatment, based on an examination of the individual by a licensed physician. The hearing under this subdivision shall meet the requirements of s. 51.20 (5), except for the right to a jury trial. At the request of the subject individual, the individual's counsel or applicable counsel under s. 51.20 (4), the hearing may be postponed, but in no case may the postponed hearing be held more than 20 days after a motion is filed.
51.61(1)(g)3m.
3m. Following a final commitment order for a subject individual who is determined to meet the commitment standard under
s. 51.20 (1) (a) 2. e., the court shall issue an order permitting medication or treatment to be administered to the individual regardless of his or her consent. This subdivision does not apply after November 30, 2001.
51.61(1)(g)4.
4. For purposes of a determination under
subd. 2. or
3., an individual is not competent to refuse medication or treatment if, because of mental illness, developmental disability, alcoholism or drug dependence, and after the advantages and disadvantages of and alternatives to accepting the particular medication or treatment have been explained to the individual, one of the following is true:
51.61(1)(g)4.a.
a. The individual is incapable of expressing an understanding of the advantages and disadvantages of accepting medication or treatment and the alternatives.
51.61(1)(g)4.b.
b. The individual is substantially incapable of applying an understanding of the advantages, disadvantages and alternatives to his or her mental illness, developmental disability, alcoholism or drug dependence in order to make an informed choice as to whether to accept or refuse medication or treatment.
51.61(1)(h)
(h) Have a right to be free from unnecessary or excessive medication at any time. No medication may be administered to a patient except at the written order of a physician. The attending physician is responsible for all medication which is administered to a patient. A record of the medication which is administered to each patient shall be kept in his or her medical records. Medication may not be used as punishment, for the convenience of staff, as a substitute for a treatment program, or in quantities that interfere with a patient's treatment program. Except when medication or medical treatment has been ordered by the court under
par. (g) or is necessary to prevent serious physical harm to others as evidenced by a recent overt act, attempt or threat to do such harm, a patient may refuse medications and medical treatment if the patient is a member of a recognized religious organization and the religious tenets of such organization prohibit such medications and treatment. The individual shall be informed of this right prior to administration of medications or treatment whenever the patient's condition so permits.
51.61(1)(i)1.1. Except as provided in
subd. 2., have a right to be free from physical restraint and isolation except for emergency situations or when isolation or restraint is a part of a treatment program. Isolation or restraint may be used only when less restrictive measures are ineffective or not feasible and shall be used for the shortest time possible. When a patient is placed in isolation or restraint, his or her status shall be reviewed once every 30 minutes. Each facility shall have a written policy covering the use of restraint or isolation which ensures that the dignity of the individual is protected, that the safety of the individual is ensured and that there is regular, frequent monitoring by trained staff to care for bodily needs as may be required. Isolation or restraint may be used for emergency situations only when it is likely that the patient may physically harm himself or herself or others. The treatment director shall specifically designate physicians who are authorized to order isolation or restraint, and shall specifically designate licensed psychologists who are authorized to order isolation. In the instance where the treatment director is not a physician, the medical director shall make the designation. In the case of a center for the developmentally disabled, use shall be authorized by the director of the center. The authorization for emergency use of isolation or restraint shall be in writing, except that isolation or restraint may be authorized in emergencies for not more than one hour, after which time an appropriate order in writing shall be obtained from the physician or licensed psychologist designated by the director, in the case of isolation, or the physician so designated in the case of restraint. Emergency isolation or restraint may not be continued for more than 24 hours without a new written order. Isolation may be used as part of a treatment program if it is part of a written treatment plan and the rights specified in this subsection are provided to the patient. The use of isolation as a part of a treatment plan shall be explained to the patient and to his or her guardian, if any, by the person who undertakes such treatment. Such treatment plan shall be evaluated at least once every 2 weeks. Patients who have a recent history of physical aggression may be restrained during transport to or from the facility. Persons who are committed or transferred under
s. 51.35 (3) or
51.37 or under
ch. 971 or
975 and who, while under this status, are transferred to a hospital, as defined in
s. 50.33 (2), for medical care may be isolated for security reasons within locked facilities in the hospital. Patients who are committed or transferred under
s. 51.35 (3) or
51.37 or under
ch. 971 or
975 may be restrained for security reasons during transport to or from the facility.
51.61(1)(i)2.
2. Patients in the maximum security facility at the Mendota mental health institute may be locked in their rooms during the night shift and for a period of no longer than one hour and 30 minutes during each change of shift by staff to permit staff review of patient needs. Patients in the maximum security facility at the Mendota mental health institute may also be locked in their rooms on a unit-wide or facility-wide basis as an emergency measure as needed for security purposes to deal with an escape or attempted escape, the discovery of a dangerous weapon in the unit or facility or the receipt of reliable information that a dangerous weapon is in the unit or facility or to prevent or control a riot or the taking of a hostage. A unit-wide or facility-wide emergency isolation order may only be authorized by the director of the unit or maximum security facility or his or her designee and shall be approved within one hour after it is authorized by the director of the Mendota mental health facility or the director's designee. An emergency order for unit-wide or facility-wide isolation may only be in effect for the period of time needed to preserve order while dealing with the situation and may not be used as a substitute for adequate staffing. During a period of unit-wide or facility-wide isolation, the status of each patient shall be reviewed every 30 minutes to ensure the safety and comfort of the patient and each patient who is locked in a room without a toilet shall be given an opportunity to use a toilet at least once every hour, or more frequently if medically indicated. Each unit in the maximum security facility at the Mendota mental health institute shall have a written policy covering the use of isolation which ensures that the dignity of the individual is protected, that the safety of the individual is secured and that there is regular, frequent monitoring by trained staff to care for bodily needs as may be required. Each policy shall be reviewed and approved by the director of the Mendota mental health institute or the director's designee.
