51.44 Cross-reference
Cross-reference: See also ch.
DHS 90, Wis. adm. code.
51.441
51.441
Comprehensive mental health consultation program. The department shall convene a statewide group of interested persons, including at least one representative of the Medical College of Wisconsin, to develop a concept paper, business plan, and standards for a comprehensive mental health consultation program that incorporates general psychiatry, geriatric psychiatry, addiction medicine and psychiatry, a perinatal psychiatry consultation program, and the child psychiatry consultation program under s.
51.442.
51.441 History
History: 2019 a. 9.
51.442
51.442
Child psychiatry consultation program. 51.442(1)(1)
In this section, “participating clinicians" include pediatricians, family physicians, nurse practitioners, and physician assistants.
51.442(2)
(2) The department shall create and administer a child psychiatry consultation program to assist participating clinicians in providing enhanced care to pediatric patients with mental health care needs, to provide referral support for pediatric patients, and to provide additional services described in this section. The consultation program created under this section is not an emergency referral service.
51.442(3)(a)(a) In the period before January 1, 2015, the department shall review proposals submitted by organizations seeking to provide consultation services through the consultation program under this section and shall designate regional program hubs, in a number determined by the department, based on the submitted proposals. The department shall select and provide moneys to organizations to provide consultation services through the consultation program in a manner that maximizes medically appropriate access and services as described under sub.
(4).
51.442(3)(b)
(b) Beginning on January 1, 2016, the department shall create any additional regional program hubs in order to provide consultation services statewide.
51.442(4)
(4) The department shall select qualified organizations to provide consultation program services through the regional hubs. Each regional hub shall make available its own qualified provider or consortium of providers. To be a qualified provider in the program under this section, an organization shall successfully demonstrate it meets all of the following criteria:
51.442(4)(a)
(a) The organization has the required infrastructure to be located within the geographic service area of the proposed regional hub.
51.442(4)(b)
(b) Any individual who would be providing consulting services through the program is located in this state.
51.442(4)(c)
(c) The organization enters into a contract with the department agreeing to satisfy all of the following criteria as a condition of providing services through the consultation program:
51.442(4)(c)1.
1. The organization has at the time of participation in the program a psychiatrist, who is either eligible for certification or certified by the American Board of Psychiatry and Neurology, Inc., for either adult psychiatry or child and adolescent psychiatry or both, and has and maintains additional staff as specified by the department.
51.442(4)(c)2.
2. The organization operates during the normal business hours of Monday to Friday between 8 a.m. and 5 p.m., excluding weekends and holidays.
51.442(4)(c)3.
3. The organization shall be able to provide consultation services as promptly as is practicable.
51.442(4)(c)4.
4. The organization shall provide all of the following services:
51.442(4)(c)4.a.
a. Support for participating clinicians to assist in the management of children and adolescents with mental health problems and to provide referral support for pediatric patients.
51.442(4)(c)4.b.
b. A triage-level assessment to determine the most appropriate response to each request, including appropriate referrals to other mental health professionals.
51.442(4)(c)4.c.
c. When medically appropriate, diagnostic and therapeutic feedback.
51.442(4)(c)4.d.
d. Recruitment of other practices in the regional hub's service territory to the provider's services.
51.442(4)(c)5.
5. The organization shall have the capability to provide consultation services by telephone, at a minimum.
51.442(5)(a)(a) An organization providing consultation services through the consultation program under this section may provide services by teleconference, video conference, voice over Internet protocol, electronic mail, pager, or in-person conference.
51.442(5)(b)
(b) The organization providing consultation services through the consultation program under this section may provide any of the following services, which are eligible for funding from the department:
51.442(5)(b)1.
1. Second opinion diagnostic and medication management evaluations conducted either by a psychiatrist or by a social worker or psychologist, or a registered nurse with psychiatric training, either by in-person conference or by teleconference, video conference, or voice over Internet protocol.
51.442(5)(b)2.
2. In-person or Internet site-based educational seminars and refresher courses provided to any participating clinician who uses the consultation program on a medically appropriate topic within child psychiatry.
51.442(6)
(6) An organization that provides consultation services through the consultation program under this section shall report to the department any information as requested by the department.
51.442(7)(a)(a) The department shall conduct annual surveys of participating clinicians who use the consultation program under this section to assess the amount of pediatric mental health care provided, self-perceived levels of confidence in providing pediatric mental health services, and the satisfaction with the consultations and the educational opportunities provided.
51.442(7)(b)
(b) Immediately after a clinical practice group begins using the consultation program under this section and again 6 to 12 months later, the department shall conduct an interview of participating clinicians from that practice group to assess the barriers to and benefits of participation to make future improvements and to determine the participating clinician's treatment abilities, confidence, and awareness of relevant resources before and after using the consultation program.
51.442 History
History: 2013 a. 127.
51.445
51.445
School-based mental health consultation pilot program. 51.445(1)(1)
In this section, “participating school-based providers” includes all of the following:
51.445(1)(a)
(a) A nurse, counselor, social worker, physical therapist, or occupational therapist employed by a school or school district.
51.445(1)(b)
(b) A superintendent of a school district, a principal, a district administrator, or a director of special education and pupil services.
51.445(2)
(2) The department shall create and administer a school-based mental health consultation pilot program in Outagamie County to assist participating school-based providers in providing enhanced care to students with mental health care needs, to provide referral support for students, and to provide additional services described in this section. The consultation pilot program created under this section is not an emergency referral service.
51.445(3)
(3) The department shall provide moneys in the amount of $175,000 in each fiscal year in, at least, fiscal years 2020-21 and 2021-22 to an organization that provided consultation services through the child psychiatry consultation program under s.
51.442 as of January 1, 2019, and the organization shall provide consultation services through the consultation pilot program under this section in Outagamie County in a manner that maximizes medically appropriate access and services as described under sub.
(4).
51.445(4)
(4) An organization providing consultation services through the consultation pilot program under this section shall make available its own qualified provider or consortium of providers. The organization shall successfully demonstrate that it meets all of the following criteria:
51.445(4)(a)
(a) The organization has the required infrastructure to provide services within Outagamie County.
51.445(4)(b)
(b) Any individual who would be providing consulting services through the program is located in this state.
51.445(4)(c)
(c) The organization enters into a contract with the department agreeing to satisfy all of the following criteria as a condition of providing services through the consultation pilot program:
51.445(4)(c)1.
1. The organization has at the time of participation in the program a psychiatrist, who is either eligible for certification or certified by the American Board of Psychiatry and Neurology, Inc., for either adult psychiatry or child and adolescent psychiatry or both, and has and maintains additional staff as specified by the department.
51.445(4)(c)2.
2. The organization operates during the normal business hours of Monday to Friday between 8 a.m. and 5 p.m., excluding weekends and holidays.
51.445(4)(c)3.
3. The organization shall be able to provide consultation services as promptly as is practicable.
51.445(4)(c)4.
4. The organization shall provide all of the following services:
51.445(4)(c)4.a.
a. Support for participating school-based providers to assist in the management of students with mental health problems and to provide referral support for students.
51.445(4)(c)4.b.
b. A triage-level assessment to determine the most appropriate response to each request, including appropriate referrals to other mental health professionals.
51.445(4)(c)4.c.
c. When medically appropriate, diagnostic and therapeutic feedback.
51.445(4)(c)4.d.
d. Recruitment of other practices in Outagamie County to the provider's services.
51.445(4)(c)5.
5. The organization shall have the capability to provide consultation services by telephone, at a minimum.
51.445(5)(a)(a) An organization providing consultation services through the consultation pilot program under this section may provide services by teleconference, video conference, voice over Internet protocol, electronic mail, pager, or in-person conference.
51.445(5)(b)
(b) The organization providing consultation services through the consultation pilot program under this section may provide in-person or Internet site-based educational seminars and refresher courses provided to any participating school-based provider who uses the consultation pilot program on a medically appropriate topic within child psychiatry. These services are eligible for funding from the department.
51.445(6)
(6) An organization that provides consultation services through the consultation pilot program under this section shall report to the department any information as requested by the department.
51.445(7)
(7) The department shall conduct annual surveys of participating school-based providers who use the consultation pilot program under this section to assess the amount of pediatric mental health care provided, self-perceived levels of confidence in providing pediatric mental health services, and the satisfaction with the consultations and the educational opportunities provided.
51.445(8)
(8) By August 1, 2022, the department shall submit a report on the school-based mental health consultation pilot program under this section to the standing committees of the legislature with jurisdiction over health under s.
13.172 (3).
51.445 History
History: 2019 a. 117.
51.448
51.448
Addiction medicine consultation program. 51.448(1)(1)
In this section, “participating clinicians" includes physicians, nurse practitioners, and physician assistants.
51.448(2)
(2) Beginning July 1, 2017, the department shall create and administer an addiction medicine consultation program to assist participating clinicians in providing enhanced care to patients with substance use addiction and to provide referral support for patients with a substance abuse disorder, and to provide additional services described in this section. The addiction medicine consultation program created under this section is not an emergency referral service.
51.448(3)
(3) The department shall review proposals submitted by organizations seeking to provide consultation services through the addiction medicine consultation program under this section and shall designate sites, in a number determined by the department, based on the submitted proposals. The department shall select and provide moneys to organizations to provide consultation services through the addiction medicine consultation program in a manner that maximizes medically appropriate access and services as described under sub.
(4).
51.448(4)
(4) The department shall select qualified organizations to provide addiction medicine consultation program services through the sites designated in sub.
(3). Each site shall make available its own qualified provider or consortium of providers. To be a qualified provider in the addiction medicine consultation program under this section, an organization shall successfully demonstrate it meets all of the following criteria:
51.448(4)(a)
(a) The organization has the required infrastructure to be located within the geographic service area of the proposed site.
51.448(4)(b)
(b) Any individual who would be providing consulting services through the addiction medicine consultation program is located in this state.
51.448(4)(c)
(c) The organization enters into a contract with the department agreeing to satisfy all of the following criteria as a condition of providing services through the addiction medicine consultation program:
51.448(4)(c)1.
1. The organization has at the time of participation in the addiction medicine consultation program a physician who is board-certified in addiction psychiatry or addiction medicine.
51.448(4)(c)2.
2. The organization operates during the normal business hours of Monday to Friday between 8 a.m. and 5 p.m., excluding holidays.
51.448(4)(c)3.
3. The organization shall be able to provide consultation services as promptly as is practicable.
51.448(4)(c)4.
4. The organization shall provide all of the following services:
51.448(4)(c)4.a.
a. Support for participating clinicians to assist in the management of addiction or substance abuse and to provide referral support for patients with a substance use addiction.
51.448(4)(c)4.b.
b. A triage-level assessment to determine the most appropriate response to each request, including appropriate referrals to other mental health professionals.
51.448(4)(c)4.c.
c. When medically appropriate, diagnostic and therapeutic feedback.
51.448(4)(c)4.d.
d. Recruitment of other practices in the site's service territory to the provider's services.
51.448(4)(c)5.
5. The organization shall have the capability to provide consultation services by telephone, at a minimum.
51.448(5)(a)(a) An organization that provides consultation services through the addiction medicine consultation program under this section may provide services by teleconference, video conference, voice over Internet protocol, electronic mail, pager, or in-person conference.
51.448(5)(b)
(b) The organization that provides consultation services through the addiction medicine consultation program under this section may provide any of the following services, which are eligible for funding from the department:
51.448(5)(b)1.
1. Second opinion diagnostic and medication management evaluations conducted either by a physician who is board-certified in addiction psychiatry or addiction medicine or a physician with extensive and documented experience in treating substance use disorders, either by in-person conference or by teleconference, video conference, or voice over Internet protocol.
51.448(5)(b)2.
2. In-person or Internet site-based educational seminars and refresher courses provided to any participating clinician who uses the addiction medicine consultation program on a medically appropriate topic within addiction medicine.
51.448(6)
(6) An organization that provides consultation services through the addiction medicine consultation program under this section shall report to the department any information as requested by the department.
51.448(7)
(7) An organization that provides consultation services through the addiction medicine consultation program under this section shall do all of the following:
51.448(7)(a)
(a) Conduct annual surveys of participating clinicians who use the addiction medicine consultation program under this section to assess the amount of addiction medicine consultation provided, self-perceived levels of confidence in providing addiction medicine services, and the satisfaction with the consultations and the educational opportunities provided.
51.448(7)(b)
(b) Immediately after a clinical practice group begins using the addiction medicine consultation program under this section and again 6 to 12 months later, conduct an interview of participating clinicians from that practice group to assess the barriers to and benefits of participation to make future improvements and to determine the participating clinician's treatment abilities, confidence, and awareness of relevant resources before and after using the addiction medicine consultation program.
51.448(7)(c)
(c) Annually, submit to the department survey results under par.
(a), summaries of interviews under par.
(b), and a description of the impact of the program under this section.
51.448 History
History: 2017 a. 28.
51.45
51.45
Prevention and control of alcoholism and drug dependence. 51.45(1)(1)
Declaration of policy. It is the policy of this state that alcoholics, persons who are drug dependent, and intoxicated persons may not be subjected to criminal prosecution because of their consumption of alcohol beverages or other drugs but rather should be afforded a continuum of treatment in order that they may lead normal lives as productive members of society.
51.45(2)
(2) Definitions. As used in this section, unless the context otherwise requires:
