51.03(4)(c)
(c) Develop and implement a comprehensive strategy to involve counties, providers of mental health and alcohol and other drug abuse services, consumers of the services and their families, interested community members and advocates for persons with mental illness and for alcoholic and drug dependent persons as equal participants in service system planning and delivery.
51.03(4)(d)
(d) Promote responsible stewardship of human and fiscal resources in the provision of mental health and alcohol and other drug abuse services.
51.03(4)(e)
(e) Develop and implement methods to identify and measure outcomes for consumers of mental health and alcohol and other drug abuse services.
51.03(4)(f)
(f) Promote access to appropriate mental health and alcohol and other drug abuse services regardless of a person's geographic location, age, degree of mental illness, alcoholism or drug dependency or availability of personal financial resources.
51.03(4)(g)
(g) Promote consumer decision making to enable persons with mental illness and alcohol or drug dependency to be more self-sufficient.
51.03(4)(h)
(h) Promote use by providers of mental health and alcohol and other drug abuse services of individualized service planning, under which the providers develop written individualized service plans that promote treatment and recovery, together with service consumers, families of service consumers who are children and advocates chosen by consumers.
51.03(5)
(5) The department shall ensure that providers of mental health and alcohol and other drug abuse services who use individualized service plans, as specified in
sub. (4) (h), do all of the following in using a plan:
51.03(5)(a)
(a) Establish meaningful and measurable goals for the consumer.
51.03(5)(b)
(b) Base the plan on a comprehensive assessment of the consumer's strengths, abilities, needs and preferences.
51.032
51.032
Denial and revocations of certification or approval based on tax delinquency. 51.032(1)
(1) Except as provided in
sub. (1m), the department shall require each applicant to provide the department with his or her social security number, if the applicant is an individual, or the applicant's federal employer identification number, if the applicant is not an individual, as a condition of issuing any of the following:
51.032(1m)
(1m) If an individual who applies for a certification or approval under
sub. (1) does not have a social security number, the individual, as a condition of obtaining the certification or approval, shall submit a statement made or subscribed under oath or affirmation to the department that the applicant does not have a social security number. The form of the statement shall be prescribed by the department of workforce development. A certification or approval issued in reliance upon a false statement submitted under this subsection is invalid.
51.032(2)
(2) The department may not disclose any information received under
sub. (1) to any person except to the department of revenue for the sole purpose of requesting certifications under
s. 73.0301.
51.032(3)
(3) Except as provided in
sub. (1m), the department shall deny an application for the issuance of a certification or approval specified in
sub. (1) if the applicant does not provide the information specified in
sub. (1).
51.032(4)
(4) The department shall deny an application for the issuance of a certification or approval specified in
sub. (1) or shall revoke a certification or approval specified in
sub. (1) if the department of revenue certifies under
s. 73.0301 that the applicant for or holder of a certification or approval is liable for delinquent taxes.
51.032 History
History: 1997 a. 237;
1999 a. 9.
51.038
51.038
Outpatient mental health clinic certification. Except as provided in
s. 51.032, if a facility that provides mental health services on an outpatient basis holds current accreditation from the council on accreditation of services for families and children, the department may accept evidence of this accreditation as equivalent to the standards established by the department, for the purpose of certifying the facility for the receipt of funds for services provided as a benefit to a medical assistance recipient under
s. 49.46 (2) (b) 6. f., a community aids funding recipient under
s. 51.423 (2) or as mandated coverage under
s. 632.89.
51.038 History
History: 1987 a. 27;
1997 a. 237.
51.04
51.04
Treatment facility certification. Except as provided in
s. 51.032, any treatment facility may apply to the department for certification of the facility for the receipt of funds for services provided as a benefit to a medical assistance recipient under
s. 49.46 (2) (b) 6. f. or to a community aids funding recipient under
s. 51.423 (2) or provided as mandated coverage under
s. 632.89. The department shall annually charge a fee for each certification.
51.04 History
History: 1975 c. 224; Stats. 1975 s. 51.44;
1975 c. 430 s.
53m; Stats. 1975 s. 51.04;
1983 a. 27;
1985 a. 29,
176;
1995 a. 27;
1997 a. 237.
51.05
51.05
Mental health institutes. 51.05(1)
(1)
Designation. The mental health institute located at Mendota is known as the "Mendota Mental Health Institute" and the mental health institute located at Winnebago is known as the "Winnebago Mental Health Institute". Goodland Hall West, a facility located at Mendota Mental Health Institute, is designated as the "Maximum Security Facility at Mendota Mental Health Institute". The department shall divide the state by counties into 2 districts, and may change the boundaries of these districts, arranging them with reference to the number of patients residing in them at a given time, the capacity of the institutes and the convenience of access to them.
51.05(2)
(2) Admissions authorized by counties. The department may not accept for admission to a mental health institute any resident person, except in an emergency, unless the county department under
s. 51.42 in the county where the person has legal residency authorizes the care, as provided in
s. 51.42 (3) (as). Patients who are committed to the department under s.
975.01, 1977 stats., or s.
975.02, 1977 stats., or
s. 971.14,
971.17,
975.06 or
980.06, admitted by the department under s.
975.17, 1977 stats., or are transferred from a secured correctional facility, a secured child caring institution or a secured group home to a state treatment facility under
s. 51.35 (3) or from a jail or prison to a state treatment facility under
s. 51.37 (5) are not subject to this section.
51.05(3)
(3) Admissions authorized by department. Any person who is without a county responsible for his or her care and any person entering this state through the compact established under
s. 51.75 may be accepted by the department and temporarily admitted to an institute. Such person shall be transferred to the county department under
s. 51.42 for the community where the best interests of the person can best be served, as soon as practicable.
51.05(3g)
(3g) Expense reduction. The department shall annually reduce by $500,000 the amount by which accumulated expenses of providing care to patients of the mental health institutes exceed the accumulated revenues from providing that care, until the accumulated revenues of the mental health institutes are in balance with the accumulated expenses of the mental health institutes.
51.05(3m)
(3m) Revenues and expenditures; reports. Notwithstanding
s. 20.903 (1), the department shall implement a plan that is approved by the department of administration to assure that there are sufficient revenues, as projected by the department of health and family services, to cover anticipated expenditures under the appropriation under
s. 20.435 (2) (gk) for the purpose of reimbursing the provision of care to patients of the Mendota Mental Health Institute or the Winnebago Mental Health Institute and to ensure that the department complies with
sub. (3g). The department of health and family services shall make reports to the department of administration every 3 months, beginning on October 1, 1993, concerning the implementation of this plan. The department of health and family services shall make reports to the joint committee on finance by December 31 of each year that identify the change, during the preceding fiscal year, in the amount by which the accumulated expenses of providing care to patients of the mental health institutes exceed the accumulated revenues from providing that care; describe the actions taken by the department during the preceding fiscal year to reduce that amount; and describe the actions that the department is taking during the current year to reduce that amount.
51.05(4)
(4) Transfers and discharges. The transfer or discharge of any person who is placed in a mental health institute shall be made subject to
s. 51.35.
51.05(5)
(5) School activities. If an individual over the age of 2 and under the age of 22 and eligible for special education and related services under
subch. V of ch. 115 is committed, admitted or transferred to or is a resident of the Mendota Mental Health Institute or Winnebago Mental Health Institute, the individual shall attend a school program operated by the applicable mental health institute or a school outside the applicable mental health institute which is approved by the department of public instruction. A school program operated by the Mendota Mental Health Institute or Winnebago Mental Health Institute shall be under the supervision of the department of public instruction and shall meet standards prescribed by that agency.
51.05(6)
(6) Hearing-impaired individuals. The department shall provide mental health services appropriate for hearing-impaired individuals who are residents of or are committed, admitted or transferred to a mental health institute.
51.06
51.06
Centers for the developmentally disabled. 51.06(1)(1)
Purpose. The purpose of the northern center for developmentally disabled, central center for developmentally disabled and southern center for developmentally disabled is to provide services needed by developmentally disabled citizens of this state that are otherwise unavailable to them, and to return those persons to the community when their needs can be met at the local level.
51.06(1m)
(1m) Services. Services to be provided by the department at centers for the developmentally disabled shall include:
51.06(1m)(a)
(a) Education within the requirements of
sub. (2), training, habilitative and rehabilitative services to those persons placed in its custody.
51.06(1m)(b)
(b) Development-evaluation services to citizens through county departments under
ss. 51.42 and
51.437.
51.06(1m)(c)
(c) Assistance to such community boards in meeting the needs of developmentally disabled citizens.
51.06(1m)(d)
(d) Services for up to 50 individuals with developmental disability who are also diagnosed as mentally ill or who exhibit extremely aggressive and challenging behaviors.
51.06(1r)(a)(a) In addition to services provided under
sub. (1m), the department may, when the department determines that community services need to be supplemented, authorize a center for the developmentally disabled to offer short-term residential services, dental and mental health services, therapy services, psychiatric and psychological services, general medical services, pharmacy services, and orthotics.
51.06(1r)(b)
(b) Services under this subsection may be provided only under contract between the department and a county department under
s. 46.215,
46.22,
46.23,
51.42, or
51.437, a school district, or another public or private entity within the state to persons referred from those entities, at the discretion of the department. The department shall charge the referring entity all costs associated with providing the services. Unless a referral is made, the department may not offer services under this subsection to the person who is to receive the services or to his or her family. The department may not impose a charge for services under this subsection upon the person receiving the services or upon his or her family. Any revenues received under this subsection shall be credited to the appropriation account under
s. 20.435 (2) (g).
51.06(1r)(c)1.1. Services under this subsection are governed by subchapter XVI of
ch. 48 and
ss. 50.03,
50.032,
50.033,
50.034 (1) to
(3),
50.035,
50.04,
50.09,
51.04,
51.42 (7) (b), and
51.61, for the application of which the services shall be considered to be provided by a private entity, by rules promulgated under those statutes, and by the terms of the contract between the department, except that, in the event of a conflict between the contractual terms and the statutes or rules, the services shall comply with the contractual, statutory, or rules provision that is most protective of the service recipient's health, safety, welfare, or rights.
51.06(1r)(c)3.
3. The department may not be required, by court order or otherwise, to offer services under this subsection.
51.06(1r)(d)
(d) A residential facility operated by a center for the developmentally disabled that is authorized by the department under this subsection may not be considered to be a hospital, as defined in
s. 50.33 (2), an inpatient facility, a state treatment facility, or a treatment facility.
51.06(2)
(2) School activities. If an individual over the age of 2 years and under the age of 22 years and eligible for special education and related services under
subch. V of ch. 115 is admitted to, is placed in or is a resident of a center, the individual shall attend a school program operated by the center or a school outside the center which is approved by the department of public instruction. A school program operated by the center shall be under the supervision of the department of public instruction and shall meet standards prescribed by that agency.
51.06(3)
(3) Admission. Individuals under the age of 22 years shall be placed only at the central center for the developmentally disabled unless the department authorizes the placement of the individual at the northern or southern center for the developmentally disabled.
51.06(4)
(4) Transfer or discharge. The transfer or discharge of any person who is placed in a center for the developmentally disabled shall be made subject to
s. 51.35.
51.07
51.07
Outpatient services. 51.07(1)(1) The department may establish a system of outpatient clinic services in any institution operated by the department.
51.07(2)
(2) It is the purpose of this section to:
51.07(2)(a)
(a) Provide outpatient diagnostic and treatment services for patients and their families.
51.07(2)(b)
(b) Offer precommitment and preadmission evaluations and studies.
51.07(3)
(3) The department may provide outpatient services only to patients contracted for with county departments under
ss. 51.42 and
51.437 in accordance with
s. 46.03 (18), except for those patients whom the department finds to be nonresidents of this state and persons receiving services under contracts under
s. 46.043. The full and actual cost less applicable collections of services contracted for with county departments under
s. 51.42 or
51.437 shall be charged to the respective county department under
s. 51.42 or
51.437. The state shall provide the services required for patient care only if no outpatient services are funded by the department in the county or group of counties served by the respective county department under
s. 51.42 or
51.437.
51.08
51.08
Milwaukee County Mental Health Complex. Any county having a population of 500,000 or more may, pursuant to
s. 46.17, establish and maintain a county mental health complex. The county mental health complex shall be a hospital devoted to the detention and care of drug addicts, alcoholics, chronic patients and mentally ill persons whose mental illness is acute. Such hospital shall be governed pursuant to
s. 46.21. Treatment of alcoholics at the county mental health complex is subject to approval by the department under
s. 51.45 (8). The county mental health complex established pursuant to this section is subject to rules promulgated by the department concerning hospital standards.
51.09
51.09
County hospitals. Any county having a population of less than 500,000 may establish a hospital or facilities for the detention and care of mentally ill persons, alcoholics and drug addicts; and in connection therewith a hospital or facility for the care of cases afflicted with pulmonary tuberculosis. County hospitals established pursuant to this section are subject to rules promulgated by the department concerning hospital standards, including standards for alcoholic treatment facilities under
s. 51.45 (8).
51.09 History
History: 1971 c. 211;
1973 c. 198;
1975 c. 430 s.
16; Stats. 1975 s. 51.09;
1985 a. 332 s.
251 (1).
51.10
51.10
Voluntary admission of adults. 51.10(1)
(1) With the approval of the treatment director of the treatment facility or the director's designee, or in the case of a center for the developmentally disabled, the director of the center or the director's designee, and the approval of the director of the appropriate county department under
s. 51.42 or
51.437, an adult desiring admission to an approved inpatient treatment facility may be admitted upon application. This subsection applies only to admissions made through a county department under
s. 51.42 or
51.437 or through the department.
51.10(2)
(2) With the approval of the director of the treatment facility or the director's designee and the director of the appropriate county department under
s. 51.42 or
51.437, an adult may be voluntarily admitted to a state inpatient treatment facility.
51.10(3)
(3) Voluntary admission of adult alcoholics shall be in accordance with
s. 51.45 (10).
51.10(4)
(4) The criteria for voluntary admission to an inpatient treatment facility shall be based on an evaluation that the applicant is mentally ill or developmentally disabled, or is an alcoholic or drug dependent and that the person has the potential to benefit from inpatient care, treatment or therapy. An applicant is not required to meet a standard of dangerousness under
s. 51.20 (1) (a) 2. to be eligible for the benefits of voluntary treatment programs. An applicant may be admitted for the purpose of making a diagnostic evaluation.
51.10(4m)(a)(a) An adult who meets the criteria for voluntary admission under
sub. (4) and whose admission is approved under
sub. (1) or
(2) may also be admitted to an inpatient treatment facility if:
51.10(4m)(a)1.
1. A physician of the facility submits a signed request and certifies in writing, before not less than 2 witnesses, that the physician has advised the patient in the presence of the witnesses both orally and in writing of the person's rights under
sub. (5) and of the benefits and risks of treatment, the patient's right to the least restrictive form of treatment appropriate to the patient's needs and the responsibility of the facility to provide the patient with this treatment; or
51.10(4m)(b)
(b) Any person admitted under
par. (a) 1. who fails to indicate a desire to leave the facility but who refuses or is unable to sign an application for admission is presumed to consent to admission and may be held for up to 7 days as a voluntary patient.
51.10(4m)(c)
(c) On the first court day following admission under
par. (a) 1., the facility shall notify the court assigned to exercise probate jurisdiction for the county in which the facility is located of the admission. Within 24 hours after receiving this notice, excluding Saturdays, Sundays and holidays, the court shall appoint a guardian ad litem to visit the facility and to determine if there has been compliance with this subsection. The guardian ad litem shall visit the patient within 48 hours, excluding Saturdays, Sundays and holidays, to ascertain whether the patient wishes a less restrictive form of treatment and, if so, shall assist the patient in obtaining the proper assistance from the facility. The guardian ad litem shall inform the patient of all rights to which the patient is entitled under this chapter.
51.10(4m)(d)
(d) If a patient admitted under
par. (a) 1. has not signed a voluntary admission application within 7 days after admission, the patient, the guardian ad litem and the physician who signed the admission request shall appear before the judge or a circuit court commissioner assigned to exercise probate jurisdiction for the county in which the facility is located to determine whether the patient shall remain in the facility as a voluntary patient. If the judge or circuit court commissioner determines that the patient desires to leave the facility, the facility shall discharge the patient. If the facility has reason to believe the patient is eligible for commitment under
s. 51.20, the facility may initiate procedures for involuntary commitment.
51.10(5)(a)(a) At the time of admission to an inpatient facility the individual being admitted shall be informed orally and in writing of his or her right to leave upon submission of a written request to the staff of the facility except when the director or such person's designee files a statement of emergency detention under
s. 51.15 with the court by the end of the next day in which the court transacts business.
51.10(5)(b)
(b) Writing materials for use in requesting discharge shall be available at all times to any voluntarily admitted individual, and shall be given to the individual upon request. A copy of the patient's and resident's rights shall be given to the individual at the time of admission.
51.10(5)(c)
(c) Any patient or resident voluntarily admitted to an inpatient treatment facility shall be discharged on request, unless the treatment director or the treatment director's designee has reason to believe that the patient or resident is dangerous in accordance with a standard under
s. 51.20 (1) (a) 2. or
(am) and files a statement of emergency detention under
s. 51.15 with the court by the end of the next day in which the court transacts business. The patient or resident shall be notified immediately when such a statement is to be filed. Prior to the filing of a statement, the patient or resident may be detained only long enough for the staff of the facility to evaluate the individual's condition and to file the statement of emergency detention. This time period may not exceed the end of the next day in which the court transacts business. Once a statement is filed, a patient or resident may be detained as provided in
s. 51.15 (1). The probable cause hearing required under
s. 51.20 (7) shall be held within 72 hours after the request for discharge, excluding Saturdays, Sundays and legal holidays.
51.10(6)
(6) A person against whom a petition for involuntary commitment has been filed under
s. 51.15 or
51.20 may agree to be admitted to an inpatient treatment facility under this section. The court may permit the person to become a voluntary patient or resident pursuant to this section upon signing an application for voluntary admission, if the director of the appropriate county department under
s. 51.42 or
51.437 and the director of the facility to which the person will be admitted approve of the voluntary admission within 30 days of the admission. Except as provided in
s. 51.20 (8) (bg) or
(bm), the court shall dismiss the proceedings under
s. 51.20 30 days after the person's admission if the person is still a voluntary patient or resident or upon the discharge of the person by the treatment director of the facility or his or her designee, if that occurs first. For any person who is a voluntary patient or resident under this subsection, actions required under
s. 51.35 (5) shall be initiated within 14 days of admission.
51.10(7)
(7) The treatment director of a facility may temporarily admit an individual to an inpatient facility when there is reason to question the competency of such individual. The treatment director shall then apply to the court for appointment of a guardian within 48 hours of the time of admission, exclusive of Saturdays, Sundays and legal holidays. The individual may remain at the facility pending appointment of a guardian.
51.10(8)
(8) An adult for whom a guardian of the person has been appointed under
ch. 880 because of the subject's incompetency may be voluntarily admitted to an inpatient treatment facility under this section only if the guardian and the ward consent to such admission.
51.10(9)
(9) Upon admission to an inpatient facility, the facility shall offer the patient orally and in writing the opportunity to execute an informed consent form under
s. 51.30 (2), requiring the facility to notify the patient's parent, child or spouse or any other adult of the patient's release. If the patient signs the consent form, the facility shall notify the person specified in the form as soon as possible after the patient requests release.
