55.12(5)
(5) Except as provided in
s. 49.45 (30m), the county may not be required to provide funding, in addition to its funds that are required to be appropriated to match state funds, in order to provide protective placement or protective services to an individual. Protective placement under this section does not replace commitment of an individual in need of acute psychiatric treatment under
s. 51.20 or
51.45 (13).
55.12(6)
(6) If the county department or agency with which it contracts under
s. 55.02 (2) proposes to provide protective placement to an individual who has a developmental disability in an intermediate facility or a nursing facility under an order under this section, the county department or agency, or, if
s. 46.279 (4m) applies to the individual, the department or the department's contractor shall develop a plan under
s. 46.279 (4) and furnish the plan to the county department or agency and to the individual's guardian. The county department or agency with which it contracts under
s. 55.02 (2) shall place provide protective placement to the individual in a noninstitutional community setting in accord with the plan unless the court finds that protective placement in the intermediate facility or nursing facility is the most integrated setting, as defined in
s. 46.279 (1) (bm), that is appropriate to the needs of the individual, taking into account information presented by all affected parties.
55.12(7)
(7) If an individual to be protectively placed is a resident of a facility licensed for 16 or more beds, the court may consider whether moving the individual would create a serious risk of harm to that individual.
55.12(8)
(8) The court may order protective services as an alternative to protective placement.
55.12(9)
(9) The court may order psychotropic medication as a protective service only as provided in
s. 55.14.
55.12 History
History: 2005 a. 264 ss.
135,
162.
55.12 Annotation
A county's duty under former s. 55.06 (9) (a) [now sub. (1)] to provide the least restrictive environment is not limited according to funds available through state and federal funds and those that the county appropriates as matching funds. Protective Placement of D.E.R.
155 Wis. 2d 240,
455 N.W.2d 239 (1990).
55.12 Annotation
A court may order an agency to do planning and implementation work necessary to fulfill the obligation to order placement conforming to former s. 55.06 (9) (a) [now sub. (1)] and s. 51.61 (1) (e). In Matter of J.G.S.
159 Wis. 2d 685,
465 N.W.2d 227 (Ct. App. 1990).
55.12 Annotation
In protective placements under former s. 55.06 (9) (a) [now sub. (1)], counties must make an affirmative showing of a good faith, reasonable effort to find an appropriate placement and to secure funding to pay for an appropriate placement. Counties bear the burden of showing whether funds are available and whether appropriate placements may be developed within the limits of required funds. Dunn County v. Judy K. 2002 WI 87,
254 Wis. 2d 383,
647 N.W.2d 799,
00-3135.
55.13
55.13
Emergency protective services. 55.13(1)
(1) Emergency protective services may be provided for not more than 72 hours when there is reason to believe that, if the emergency protective services are not provided, the individual entitled to the services or others will incur a substantial risk of serious physical harm.
55.13(2)
(2) If the county department or agency with which the county department contracts under
s. 55.02 (2) that is providing emergency protective services to an individual under
sub. (1) has reason to believe that the individual meets the criteria for protective services under
s. 55.08 (2), the county department or agency may file a petition under
s. 55.075. If a petition is filed, a preliminary hearing shall be held within 72 hours, excluding Saturdays, Sundays, and legal holidays, to establish probable cause that the criteria under
s. 55.08 (2) are present. The county department or agency shall provide the individual with written notice and orally inform the individual of the time and place of the preliminary hearing. If the individual is not under guardianship, a petition for guardianship shall accompany the petition under
s. 55.08 (2), except in the case of a minor who is alleged to be developmentally disabled.
55.13(3)
(3) Upon finding probable cause under
sub. (2), the court may order emergency protective services to continue to be provided for up to 60 days pending the hearing on protective services under
s. 55.10.
55.13(4)
(4) If it is necessary to enter a premises forcibly to provide or investigate the need for emergency protective services, the staff member of a county department shall obtain a court order authorizing entry and shall make the entry accompanied by a sheriff, police officer, or member of a fire department. When it appears probable that substantial physical harm, irreparable injury, or death may occur to an individual, the police officer, fire fighter, or sheriff may enter a premises without a court order if the time required to obtain such an order would result in greater risk of physical harm to the individual.
55.13(5)
(5) If a forcible entry is made under
sub. (4), a report of the exact circumstances, including the date, time, place, factual basis for the need of the entry, and the exact services rendered, shall be made and forwarded to the court within 14 days after entry by the person making the entry.
55.13 History
History: 2005 a. 264 ss.
98,
99,
100,
163.
55.135
55.135
Emergency and temporary protective placement. 55.135(1)(1) If, [upon a credible report to or,] from personal observation of, or a reliable report made by a person who identifies himself or herself to, a sheriff, police officer, fire fighter, guardian, if any, or authorized representative of a county department or an agency with which it contracts under
s. 55.02 (2), it appears probable that an individual is so totally incapable of providing for his or her own care or custody as to create a substantial risk of serious physical harm to himself or herself or others as a result of developmental disabilities, degenerative brain disorder, serious and persistent mental illness, or other like incapacities if not immediately placed, the individual [under this paragraph who received the credible report or] who personally made the observation or to whom the report is made may take into custody and transport the individual to an appropriate medical or protective placement facility. The person making emergency protective placement shall prepare a statement at the time of detention providing specific factual information concerning the person's observations or reports made to the person and the basis for emergency placement. The statement shall be filed with the director of the facility and with any petition under
s. 55.075. At the time of emergency protective placement the individual shall be informed by the director of the facility or the director's designee, orally and in writing, of his or her right to contact an attorney and a member of his or her immediate family and the right to have an attorney provided at public expense, as provided under
s. 967.06 and
ch. 977, if the individual is a minor or is indigent. The director or designee shall also provide the individual with a copy of the statement by the person making emergency protective placement.
55.135 Note
NOTE: Sub. (1) is shown as affected by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c). The bracketed language was inserted by
2005 Wis. Act 388 but is redundant and surplusage as a result of the treatment by
2005 Wis. Act 264.
55.135(2)
(2) Whoever signs a statement under
sub. (1) knowing the information contained in the statement to be false is guilty of a Class H felony.
55.135(3)
(3) A person who acts in accordance with this section is not liable for any actions performed in good faith.
55.135(4)
(4) When an individual is detained under this section, a petition shall be filed under
s. 55.075 by the person making the emergency protective placement and a preliminary hearing shall be held within 72 hours, excluding Saturdays, Sundays and legal holidays, to establish probable cause to believe the grounds for protective placement under
s. 55.08 (1). The sheriff or other person making emergency protective placement under
sub. (1) shall provide the individual with written notice and orally inform him or her of the time and place of the preliminary hearing. If the detainee is not under guardianship, a petition for guardianship shall accompany the protective placement petition, except in the case of a minor who is alleged to be developmentally disabled. In the event that protective placement is not appropriate, the court may elect to treat a petition for protective placement as a petition for commitment under
s. 51.20 or
51.45 (13).
55.135(5)
(5) Upon finding probable cause under
sub. (4), the court may order temporary protective placement up to 30 days pending the hearing for a permanent protective placement, or the court may order such protective services as may be required. If the court orders under this subsection an individual who has a developmental disability to receive temporary protective placement in an intermediate facility or in a nursing facility, and if at the hearing for permanent protective placement the court orders that the individual be provide protective placement, the court may, before commencement of permanent protective placement, extend the temporary protective placement order for not more than 90 days if necessary for the county department that is participating in the program under
s. 46.278 or, if
s. 46.279 (4m) applies, the department's contractor to develop the plan required under
s. 46.279 (4).
55.135(6)
(6) A law enforcement agency, fire department, or county department or agency with which it contracts under
s. 55.02 (2) shall designate at least one employee authorized to take an individual into custody under this section who shall attend the in-service training on emergency detention and emergency protective placement offered by a county department of community programs under
s. 51.42 (3) (ar) 4. d., if the county department of community programs serving the designated employee's jurisdiction offers an in-service training program.
55.135 History
History: 2005 a. 264 ss.
144 to
149,
164;
2005 a. 388 s.
165; s. 13.93 (2) (c).
55.135 Annotation
When a placement extended past the 30-day limit under former s. 55.06 (11) (c) [now sub. (5)] before a final hearing was held, the court lost authority to extend the placement. In Matter of Guardianship of N. N.
140 Wis. 2d 64,
409 N.W.2d 388 (Ct. App. 1987).
55.135 Annotation
Former s. 55.06 (11) (c) [now sub. (5)] required dismissal of the proceedings for failure to hold a permanent placement hearing within 30 days of the probable cause hearing; immediate refiling of the petition and emergency detention following dismissal without prejudice was impermissible. State ex. rel Sandra D. v. Getto,
175 Wis. 2d 490,
498 N.W.2d 893 (Ct. App. 1993).
55.135 Annotation
An emergency protective placement must be based on personal observation by one of the individuals listed in former s. 55.06 (11) (a) [now sub. (1)]. Costs could not be assessed against the subject of an emergency placement proceeding that was outside the statutory guidelines. Ethelyn I.C. v. Waukesha County,
221 Wis. 2d 109,
584 N.W.2d 211 (Ct. App. 1998),
97-2236.
55.135 Annotation
A circuit court loses competence if the hearing under former s. 55.06 (11) (b) [now sub. (4)] is not held within 72 hours after the person is first taken into custody. The filing of a new petition does not start the clock anew. Kindcare, Inc. v. Judith G. 2002 WI App 36,
250 Wis. 2d 817,
640 N.W.2d 839,
00-3450.
55.14
55.14
Involuntary administration of psychotropic medication. 55.14(1)(a)
(a) "Involuntary administration of psychotropic medication" means any of the following:
55.14(1)(a)1.
1. Placing psychotropic medication in an individual's food or drink with knowledge that the individual protests receipt of the psychotropic medication.
55.14(1)(a)2.
2. Forcibly restraining an individual to enable administration of psychotropic medication.
55.14(1)(a)3.
3. Requiring an individual to take psychotropic medication as a condition of receiving privileges or benefits.
55.14(1)(b)
(b) "Not competent to refuse psychotropic medication" means that, for an individual with developmental disability or as a result of degenerative brain disorder, serious and persistent mental illness, or other like incapacities, and after the advantages and disadvantages of and alternatives to accepting the particular psychotropic medication have been explained to an individual, one of the following is true:
Effective date text
(b) "Not competent to refuse psychotropic medication" means that, as a result of developmental disabilities, degenerative brain disorder, serious and persistent mental illness, or other like incapacities, and after the advantages and disadvantages of and alternatives to accepting the particular psychotropic medication have been explained to an individual, one of the following is true:
55.14(1)(b)1.
1. The individual is incapable of expressing an understanding of the advantages and disadvantages of accepting treatment and the alternatives to accepting treatment.
55.14(1)(b)2.
2. The individual is substantially incapable of applying an understanding of the advantages, disadvantages and alternatives to his or her condition in order to make an informed choice as to whether to accept or refuse psychotropic medication.
55.14(1)(c)
(c) "Protest" means make more than one discernible negative response, other than mere silence, to the offer of, recommendation for, or other proffering of voluntary receipt of psychotropic medication. "Protest" does not mean a discernible negative response to a proposed method of administration of the psychotropic medication.
55.14(1)(d)
(d) "Psychotropic medication" means a prescription drug, as defined in
s. 450.01 (20), that is used to treat or manage a psychiatric symptom or challenging behavior.
55.14(2)
(2) Involuntary administration of psychotropic medication, with consent of a guardian, may be ordered as a protective service only under the requirements of this section.
55.14 Note
NOTE: Sub. (2) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c).
55.14(3)
(3) In addition to the other requirements of this chapter pertaining to petitions for protective services, a petition under this section shall allege that all of the following are true:
55.14(3)(a)
(a) A physician has prescribed psychotropic medication for the individual.
55.14(3)(b)
(b) The individual is not competent to refuse psychotropic medication.
55.14(3)(c)1.
1. The individual has refused to take the psychotropic medication voluntarily. If this is alleged, the petition shall identify, if known, the reasons the individual refuses to take psychotropic medication voluntarily and shall provide evidence showing that a reasonable number of documented attempts to administer psychotropic medication voluntarily using appropriate interventions that could reasonably be expected to increase the individual's willingness to take psychotropic medication voluntarily have been made and have been unsuccessful.
55.14(3)(c)2.
2. Attempting to administer psychotropic medications to the individual voluntarily is not feasible or is not in the best interests of the individual. If this is alleged, the petition must identify specific reasons supporting that allegation.
Effective date text
(c) The individual has refused to take the psychotropic medication voluntarily or attempting to administer psychotropic medication to the individual voluntarily is not feasible or is not in the best interests of the individual. If the petition alleges that the individual has refused to take psychotropic medication voluntarily, the petition shall identify the reasons, if known, for the individuals refusal to take psychotropic medication voluntarily. The petition also shall provide evidence showing that a reasonable number of documented attempts to administer psychotropic medication voluntarily using appropriate interventions that could reasonably be expected to increase the individual's willingness to take psychotropic medication voluntarily have been made and have been unsuccessful. If the petition alleges that attempting to administer psychotropic medications to the individual voluntarily is not feasible or is not in the best interests of the individual, the petition must identify specific reasons supporting that allegation.
55.14(3)(d)
(d) The individual's condition for which psychotropic medication has been prescribed is likely to be improved by administration of psychotropic medication and the individual is likely to respond positively to psychotropic medication.
55.14(3)(e)
(e) Unless psychotropic medication is administered involuntarily, the individual will incur a substantial probability of physical harm, impairment, injury, or debilitation or will present a substantial probability of physical harm to others. The substantial probability of physical harm, impairment, injury, or debilitation shall be evidenced by one of the following:
Effective date text
(e) Unless psychotropic medication is administered involuntarily, the individual will incur an immediate or imminent substantial probability of physical harm, impairment, injury, or debilitation or will present a substantial probability of physical harm to others. The substantial probability of physical harm, impairment, injury, or debilitation shall be evidenced by one of the following:
55.14(3)(e)1.
1. The individual's history of at least 2 episodes, one of which has occurred within the previous 24 months, that indicate a pattern of overt activity, attempts, threats to act, or omissions that resulted from the individual's failure to participate in treatment, including psychotropic medication, and that resulted in a finding of probable cause for commitment under
s. 51.20 (7), a settlement agreement approved by a court under
s. 51.20 (8) (b), or commitment ordered under
s. 51.20 (13).
55.14(4)
(4) A petition under this section must include a written statement signed by a physician who has personal knowledge of the individual that provides general clinical information regarding the appropriate use of psychotropic medication for the individual's condition and specific data that indicates that the individual's current condition necessitates the use of psychotropic medication.
55.14(5)
(5) The guardian ad litem appointed under
s. 55.10 (4) (b) [
s. 55.06 (6)] for an individual who is the subject of a petition under this section shall report to the court whether the allegations in the petition required under
sub. (3) are true, and whether involuntary administration of psychotropic medication is in the best interests of the individual.
55.14 Note
NOTE: Sub. (5) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c). The bracketed language indicates an incorrect cross-reference.
55.14(6)
(6) If requested by an individual who is the subject of a petition under this section or anyone on his or her behalf, the individual has the right at his or her own expense, or if indigent at the expense of the county in which the petition is filed, to secure an independent medical or psychological examination relevant to the issues of whether the allegations in the petition required under
sub. (3) are true, and whether involuntary administration of psychotropic medication is in the best interest of the individual, and to present a report of this independent evaluation or the evaluator's personal testimony as evidence at the hearing.
55.14(7)
(7) Upon the filing of a petition under this section, the court shall appoint counsel. A petition under this section shall be heard under
s. 55.10 (4) (a) [
s. 55.06] within 30 days after it is filed.
55.14 Note
NOTE: Sub. (7) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c). The bracketed language indicates an incorrect cross-reference.
55.14(8)
(8) The court may issue an order authorizing an individual's guardian to consent to involuntary administration of psychotropic medication to the individual and may order involuntary administration of psychotropic medication to the individual as a protective service, with the guardian's consent, if the court or jury finds by clear and convincing evidence that the allegations in the petition required under
sub. (3) are true, all other requirements for involuntary administration of psychotropic medication under this section have been met, psychotropic medication is necessary for treating the condition described in the statement under
sub. (4), and all other requirements of this chapter for ordering protective services have been met. An order under this section shall do all of the following:
55.14(8)(a)
(a) Direct the development of a treatment plan for the individual specifying the protective services, including psychotropic medication as ordered by the treating physician, that the individual should receive. If the individual resides in a nursing home or hospital, the nursing home or hospital shall develop the treatment plan. If the individual resides elsewhere, the county department or an agency with which it contracts under
s. 55.02 (2) shall develop the treatment plan. The treatment plan shall include a plan for the involuntary administration of psychotropic medication to the individual. The treatment plan is subject to the approval of the guardian and to review and approval by the court. If the court approves the plan, the court shall order the county department or an agency with which it contracts under
s. 55.02 (2) to ensure that protective services, including psychotropic medication, are [is] administered in accordance with the treatment plan.
55.14 Note
NOTE: Par. (a) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c). The bracketed language was inserted by
2005 Wis. Act 264, but rendered surplusage by
2005 Wis. Act 387.
55.14(8)(b)
(b) Order the individual to comply with the treatment plan under
par. (a). The order shall provide that if the individual fails to comply with provisions of the treatment plan that require the individual to take psychotropic medications, the medications may be administered involuntarily with consent of the guardian. The order shall specify the methods of involuntary administration of psychotropic medication to which the guardian may consent. An order authorizing the forcible restraint of an individual shall specify that a person licensed under
s. 441.06,
441.10, or
448.05 (2) or
(5) shall be present at all times that psychotropic medication is administered in this manner and shall require the person or facility using forcible restraint to maintain records stating the date of each administration, the medication administered, and the method of forcible restraint utilized.
55.14(9)
(9) If an individual who is subject to an order under this section is not in compliance with the order because he or she refuses to take psychotropic medication as ordered under the treatment plan, and it is necessary for the individual to be transported to an appropriate facility for forcible restraint for administration of psychotropic medication, the corporation counsel shall file with the court a statement of the facts which constitute basis for [of] the noncompliance of the individual. The statement shall be sworn to be true and shall be based upon the information and belief of the person filing the statement. The statement shall be signed by the individual's guardian and by the director or designee of the county department or an agency with which it contracts under
s. 55.02 (2) to develop and administer the treatment plan. Upon receipt of the statement of noncompliance, if the court finds by clear and convincing evidence that the individual has substantially failed to comply with the administration of psychotropic medication as ordered under the treatment plan, the court may issue an order authorizing the sheriff or any other law enforcement agency in the county in which the individual is found or in which it is believed that the individual may be present to take the individual into custody and transport him or her to an appropriate facility for administration of psychotropic medication using forcible restraint, with consent of the guardian.
55.14 Note
NOTE: Sub. (9) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c). The bracketed "of" was inserted by
2005 Wis. Act 264, but rendered surplusage by
2005 Wis. Act 387. Corrective legislative is pending.
55.14(10)
(10) Nothing in this section prohibits the involuntary administration of psychotropic medication as an emergency protective service under
s. 55.13 [this chapter].
55.14 Note
NOTE: Sub. (10) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c). The bracketed language indicates the less specific cross-reference. Emergency protective services are provided under s. 55.13. Corrective legislation is pending.
55.14(11)
(11) The county department or an agency with which it contracts under
s. 55.02 (2) shall provide to the department a copy of any order issued under this section that applies to any protectively placed individual in the county.
55.14 Note
NOTE: Sub. (11) is shown as created by 2 acts of the 2005 Wisconsin legislature and as merged by the revisor under s. 13.93 (2) (c).
55.14(12)
(12) The department shall annually submit to the legislature under
s. 13.172 (2) a report regarding orders under this section.
55.14(13)
(13) An order under this section is subject to annual review under
s. 55.19.
55.14 History
History: 2005 a. 264 ss.
165,
195;
2005 a. 387 ss.
121,
302; s. 13.93 (2) (c).
55.15
55.15
Transfer of an individual under a protective placement order. 55.15(1)(1)
Transfers authorized. An individual under a protective placement order may be transferred between protective placement units, between protective placement facilities, or from a protective placement unit to a medical facility. The individual may not be transferred, under the protective placement order, to any facility for which commitment procedures are required under
ch. 51.
55.15(2)
(2) Who may transfer. A guardian, a county department or agency with which it contracts under s.
55.03 (2) [
s. 55.02 (2)] that provided protective placement to the individual pursuant to the order of the court, the department, or a protective placement facility may transfer an individual under a protective placement order under the requirements of this section, notwithstanding the fact that a court order has named a specific facility for the protective placement of the individual.
55.15 Note
NOTE: The bracketed language indicates the correct cross-reference. Corrective legislation is pending.
55.15(3)
(3) Consent of guardian required. No individual may be transferred under this section without the written consent of the individual's guardian, except in the case of an emergency transfer under
sub. (5) (b).
55.15(4)
(4) Consent of county department. No individual may be transferred under this section to a facility that is more costly to the county without the written consent of the county department, except in the case of an emergency transfer under
sub. (5) (b).
55.15(5)(a)(a)
Nonemergency transfer. A person or entity who initiates a transfer shall provide 10 days' prior written notice of a transfer to the court that ordered the protective placement and to each of the other persons and entities specified in
sub. (2) who did not initiate the transfer. The notice of transfer shall include notice of the right of the individual under a protective placement, the individual's attorney, if any, or other interested person to petition the court for a hearing on the transfer.
55.15(5)(b)
(b)
Emergency transfer. If an emergency makes it impossible to provide the notice specified in
par. (a) or to obtain the prior written consent of the guardian specified in
sub. (3), the individual may be transferred without the prior written consent of the guardian and without the notice specified in
par. (a). Written notice shall be provided immediately upon transfer to each of the persons and entities specified under
sub. (2) who did not initiate the transfer. Notice shall also be provided to the court that ordered the protective placement within a reasonable time, not to exceed 48 hours from the time of transfer. The notice shall include notice of the right to file with the court under
sub. (6) a petition objecting to the emergency transfer.
55.15(6)
(6) Petition. An individual under protective placement, the individual's guardian, the individual's attorney, if any, or any other interested person may file a petition with the court objecting to a proposed transfer or to an emergency transfer made under
sub. (5) (b). The petition shall specify the reasons for the person's objection to the transfer.
55.15(7)(a)(a) The court shall order a hearing within 10 days after the filing of a petition under
sub. (6).
