51.45(12)(b)1.
1. State facts to support the need for emergency treatment;
51.45(12)(b)2.
2. State that the person is a child or state facts sufficient for a determination of indigency of the person; and
51.45(12)(b)3.
3. Be supported by one or more affidavits which aver with particularity the factual basis for the allegations contained in the petition.
51.45(12)(c)
(c) Upon receipt of a petition under
par. (b), the circuit court commissioner or court shall:
51.45(12)(c)1.
1. Determine whether the petition and supporting affidavits sustain the grounds for commitment and dismiss the petition if the grounds for commitment are not sustained thereby. If the grounds for commitment are sustained by the petition and supporting affidavits, the court or circuit court commissioner shall issue an order temporarily committing the person to the custody of the county department pending the outcome of the preliminary hearing under
sub. (13) (d).
51.45(12)(c)2.
2. Assure that the person sought to be committed is represented by counsel and, if the person claims or appears to be indigent, refer the person to the authority for indigency determinations specified under
s. 977.07 (1) or, if the person is a child, refer that child to the state public defender who shall appoint counsel for the child without a determination of indigency, as provided in
s. 48.23 (4).
51.45(12)(c)3.
3. Issue an order directing the sheriff or other law enforcement agency to take the person into protective custody and bring him or her to an approved public treatment facility designated by the county department, if the person is not detained under
sub. (11).
51.45(12)(c)4.
4. Set a time for a preliminary hearing under
sub. (13) (d), such hearing to be held not later than 48 hours after receipt of a petition under
par. (b), exclusive of Saturdays, Sundays and legal holidays. If at such time the person is unable to assist in the defense because he or she is incapacitated by alcohol, an extension of not more than 48 hours, exclusive of Saturdays, Sundays and legal holidays, may be had upon motion of the person or the person's attorney.
51.45(12)(d)
(d) Upon arrival at the approved public treatment facility, the person shall be advised both orally and in writing of the right to counsel, the right to consult with counsel before a request is made to undergo voluntary treatment under
sub. (10), the right not to converse with examining physicians, psychologists or other personnel, the fact that anything said to examining physicians, psychologists or other personnel may be used as evidence against him or her at subsequent hearings under this section, the right to refuse medication under
s. 51.61 (6), the exact time and place of the preliminary hearing under
sub. (13) (d), and of the reasons for detention and the standards under which he or she may be committed prior to all interviews with physicians, psychologists or other personnel. Such notice of rights shall be provided to the patient's immediate family if they can be located and may be deferred until the patient's incapacitated condition, if any, has subsided to the point where the patient is capable of understanding the notice. Under no circumstances may interviews with physicians, psychologists or other personnel be conducted until such notice is given, except that the patient may be questioned to determine immediate medical needs. The patient may be detained at the facility to which he or she was admitted or, upon notice to the attorney and the court, transferred by the county department to another appropriate public or private treatment facility, until discharged under
par. (e).
51.45(12)(e)
(e) When on the advice of the treatment staff the superintendent of the facility having custody of the patient determines that the grounds for commitment no longer exist, he or she shall discharge a person committed under this subsection. No person committed under this subsection shall be detained in any treatment facility beyond the time set for a preliminary hearing under
par. (c) 4. If a petition for involuntary commitment under
sub. (13) has been filed and a finding of probable cause for believing the patient is in need of commitment has been made under
sub. (13) (d), the person may be detained until the petition has been heard and determined.
51.45(12)(f)
(f) A copy of the written application for commitment and all supporting affidavits shall be given to the patient at the time notice of rights is given under
par. (d) by the superintendent, who shall provide a reasonable opportunity for the patient to consult counsel.
51.45(13)(a)(a) A person may be committed to the custody of the county department by the circuit court upon the petition of 3 adults, at least one of whom has personal knowledge of the conduct and condition of the person sought to be committed. A refusal to undergo treatment shall not constitute evidence of lack of judgment as to the need for treatment. The petition for commitment shall:
51.45(13)(a)1.
1. Allege that the condition of the person is such that he or she habitually lacks self-control as to the use of alcohol beverages, and uses such beverages to the extent that health is substantially impaired or endangered and social or economic functioning is substantially disrupted;
51.45(13)(a)2.
2. Allege that such condition of the person is evidenced by a pattern of conduct which is dangerous to the person or to others;
51.45(13)(a)3.
3. State that the person is a child or state facts sufficient for a determination of indigency of the person;
51.45(13)(a)4.
4. Be supported by the affidavit of each petitioner who has personal knowledge which avers with particularity the factual basis for the allegations contained in the petition; and
51.45(13)(a)5.
5. Contain a statement of each petitioner who does not have personal knowledge which provides the basis for his or her belief.
51.45(13)(b)
(b) Upon receipt of a petition under
par. (a), the court shall:
51.45(13)(b)1.
1. Determine whether the petition and supporting affidavits meet the requirements of
par. (a) and dismiss the petition if the requirements of
par. (a) are not met thereby. If the person has not been temporarily committed under
sub. (12) (c) and the petition and supporting affidavits meet the requirements of
par. (a), the court may issue an order temporarily committing the person to the custody of the county department pending the outcome of the preliminary hearing under
par. (d).
51.45(13)(b)2.
2. Assure that the person is represented by counsel and, if the person claims or appears to be indigent, refer the person to the authority for indigency determinations specified under
s. 977.07 (1) or, if the person is a child, refer that child to the state public defender who shall appoint counsel for the child without a determination of indigency, as provided in
s. 48.23 (4). The person shall be represented by counsel at the preliminary hearing under
par. (d). The person may, with the approval of the court, waive his or her right to representation by counsel at the full hearing under
par. (f).
51.45(13)(b)3.
3. If the court orders temporary commitment, issue an order directing the sheriff or other law enforcement agency to take the person into protective custody and to bring the person to an approved public treatment facility designated by the county department, if the person is not detained under
sub. (11) or
(12).
51.45(13)(b)4.
4. Set a time for a preliminary hearing under
par. (d). If the person is taken into protective custody, such hearing shall be held not later than 72 hours after the person arrives at the approved public treatment facility, exclusive of Saturdays, Sundays and legal holidays. If at that time the person is unable to assist in the defense because he or she is incapacitated by alcohol, an extension of not more than 48 hours, exclusive of Saturdays, Sundays and legal holidays, may be had upon motion of the person or the person's attorney.
51.45(13)(c)
(c) Effective and timely notice of the preliminary hearing, together with a copy of the petition and supporting affidavits under
par. (a), shall be given to the person unless he or she has been taken into custody under
par. (b), the legal guardian if the person is adjudicated incompetent, the person's counsel, and the petitioner. The notice shall include a written statement of the person's right to an attorney, the right to trial by jury, the right to be examined by a physician, and the standard under which he or she may be committed under this section. If the person is taken into custody under
par. (b), upon arrival at the approved public treatment facility, the person shall be advised both orally and in writing of the right to counsel, the right to consult with counsel before a request is made to undergo voluntary treatment under
sub. (10), the right not to converse with examining physicians, psychologists or other personnel, the fact that anything said to examining physicians, psychologists or other personnel may be used as evidence against him or her at subsequent hearings under this section, the right to refuse medication under
s. 51.61 (6), the exact time and place of the preliminary hearing under
par. (d), the right to trial by jury, the right to be examined by a physician and of the reasons for detention, and the standards under which he or she may be committed prior to all interviews with physicians, psychologists, or other personnel. Such notice of rights shall be provided to the person's immediate family if they can be located and may be deferred until the person's incapacitated condition, if any, has subsided to the point where the person is capable of understanding the notice. Under no circumstances may interviews with physicians, psychologists, or other personnel be conducted until such notice is given, except that the person may be questioned to determine immediate medical needs. The person may be detained at the facility to which he or she was admitted or, upon notice to the attorney and the court, transferred by the county department to another appropriate public or private treatment facility, until discharged under this subsection. A copy of the petition and all supporting affidavits shall be given to the person at the time notice of rights is given under this paragraph by the superintendent, who shall provide a reasonable opportunity for the patient to consult counsel.
51.45(13)(d)
(d) Whenever it is desired to involuntarily commit a person, a preliminary hearing shall be held under this paragraph. The purpose of the preliminary hearing shall be to determine if there is probable cause for believing that the allegations of the petition under
par. (a) are true. The person shall be represented by counsel at the preliminary hearing and, if the person is a child or is indigent, counsel shall timely be appointed at public expense, as provided in
s. 967.06 and
ch. 977. Counsel shall have access to all reports and records, psychiatric and otherwise, which have been made prior to the preliminary hearing. The person shall be present at the preliminary hearing and shall be afforded a meaningful opportunity to be heard. Upon failure to make a finding of probable cause under this paragraph, the court shall dismiss the petition and discharge the person from the custody of the county department.
51.45(13)(dg)
(dg) The court shall proceed as if a petition were filed under
s. 51.20 (1) if all of the following conditions are met:
51.45(13)(dg)1.
1. The petitioner's counsel notifies all other parties and the court, within a reasonable time prior to the hearing, of his or her intent to request that the court proceed as if a petition were filed under
s. 51.20 (1).
51.45(13)(dg)2.
2. The court determines at the hearing that there is probable cause to believe that the subject individual is a fit subject for treatment under
s. 51.20 (1).
51.45(13)(dm)
(dm) For the purposes of this section, duties to be performed by a court shall be carried out by the judge of such court or a circuit court commissioner of such court who is designated by the chief judge to so act, in all matters prior to a final hearing under this subsection.
51.45(13)(e)
(e) Upon a finding of probable cause under
par. (d), the court shall fix a date for a full hearing to be held within 14 days. An extension of not more than 14 days may be granted upon motion of the person sought to be committed upon a showing of cause. Effective and timely notice of the full hearing, the right to counsel, the right to jury trial, and the standards under which the person may be committed shall be given to the person, the immediate family other than a petitioner under
par. (a) or
sub. (12) (b) if they can be located, the legal guardian if the person is adjudicated incompetent, the superintendent in charge of the appropriate approved public treatment facility if the person has been temporarily committed under
par. (b) or
sub. (12), the person's counsel, unless waived, and to the petitioner under
par. (a). Counsel, or the person if counsel is waived, shall have access to all reports and records, psychiatric and otherwise, which have been made prior to the full hearing on commitment, and shall be given the names of all persons who may testify in favor of commitment and a summary of their proposed testimony at least 96 hours before the full hearing, exclusive of Saturdays, Sundays and legal holidays.
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). If the person has served in the U.S. armed forces or forces incorporated as part of the U.S. armed forces, the county department shall contact the U.S. department of veterans affairs to determine if the person is eligible for treatment at a U.S. department of veterans affairs facility. If the person is eligible for that treatment, the county department may transfer the person to that facility if the U.S. department of veterans affairs approves that transfer. 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 Wis. 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;
1997 a. 27,
35,
237;
1999 a. 9;
2001 a. 61;
2005 a. 22,
387,
444.
51.45 Cross-reference
Cross Reference: See also ch.
HFS 75, Wis. adm. code.
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
A one-person petition under sub. (12) is sufficient for commitment only until the preliminary hearing; a 3-person petition under sub. (13) is required for commitment beyond that time period. In Matter of B.A.S.: State v. B.A.S.
134 Wis. 2d 291,
397 N.W.2d 114 (Ct. App. 1986).
51.45 Annotation
Criminal charges of bail jumping based solely on the consumption of alcohol do not violate this section. Sub. (1) is intended only to prevent prosecutions for public drunkenness. State ex rel. Jacobus v. State,
208 Wis. 2d 39,
559 N.W.2d 900 (1997),
94-2895.
51.45 Annotation
The requirement under sub. (13) (e) that a person sought to be committed have access to records and reports does not require the county to file the specified records with the trial court prior to a final hearing. County of Dodge v. Michael J.K.
209 Wis. 2d 499,
564 N.W.2d 350 (Ct. App. 1997),
96-2250.
51.45 Annotation
Persons incapacitated by alcohol who engage in disorderly conduct in a 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.
51.46
51.46
Priority for pregnant women for private treatment for alcohol or other drug abuse. For inpatient or outpatient treatment for alcohol or other drug abuse, the first priority for services that are available in privately operated facilities, whether on a voluntary or involuntary basis, is for pregnant women who suffer from alcoholism, alcohol abuse or drug dependency.
51.46 History
History: 1997 a. 292.
51.47
51.47
Alcohol and other drug abuse treatment for minors without parental consent. 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 and may render those services to a minor under 12 years of age without obtaining the consent of or notifying the minor's parent or guardian, but only if a parent with legal custody or guardian of the minor under 12 years of age cannot be found or there is no parent with legal custody of the minor under 12 years of age. An assessment under this subsection shall conform to the criteria specified in
s. 938.547 (4). 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 Annotation
Except for those services for which parental consent is necessary under sub. (2), a physician or health care facility may release outpatient or detoxification services information only with the consent of a minor patient, provided the minor is twelve years of age or over.
77 Atty. Gen. 187.
51.48
51.48
Alcohol and other drug testing, assessment, and treatment of minor without minor's consent. A minor's parent or guardian may consent to have the minor tested for the presence of alcohol or other drugs in the minor's body or to have the minor assessed by an approved treatment facility for the minor's abuse of alcohol or other drugs according to the criteria specified in
s. 938.547 (4). If, based on the assessment, the approved treatment facility determines that the minor is in need of treatment for the abuse of alcohol or other drugs, the approved treatment facility shall recommend a plan of treatment that is appropriate for the minor's needs and that provides for the least restrictive form of treatment consistent with the minor's needs. That treatment may consist of outpatient treatment, day treatment, or, if the minor is admitted in accordance with
s. 51.13, inpatient treatment. The parent or guardian of the minor may consent to the treatment recommended under this section. Consent of the minor for testing, assessment, or treatment under this section is not required.
51.48 History
History: 1999 a. 9;
2001 a. 16.
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.
