51.42(3)(e)
(e)
Exchange of information. Notwithstanding ss.
46.2895 (9),
48.78 (2) (a),
49.45 (4),
49.83,
51.30,
51.45 (14) (a),
55.22 (3),
146.82,
252.11 (7),
253.07 (3) (c), and
938.78 (2) (a), any subunit of a county department of community programs or tribal agency acting under this section may exchange confidential information about a client, without the informed consent of the client, with any other subunit of the same county department of community programs or tribal agency, with a resource center, a care management organization, or a long-term care district, or with any person providing services to the client under a purchase of services contract with the county department of community programs or tribal agency or with a resource center, care management organization, or long-term care district, if necessary to enable an employee or service provider to perform his or her duties, or to enable the county department of community programs or tribal agency to coordinate the delivery of services to the client. Any agency releasing information under this paragraph shall document that a request was received and what information was provided.
51.42(4)
(4)
County community programs board. 51.42(4)(a)1.1. Except as provided under subd.
2., the county board of supervisors of every county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs shall, before qualification under this section, appoint a governing and policy-making board to be known as the county community programs board. A county community programs board appointed under this subdivision shall govern the single-county or multicounty department of community programs and shall assume all of the powers and duties of the county department of community programs under sub.
(3) (ar) to
(bm). A member of a county community programs board appointed under this subdivision may be removed from office under the following circumstances:
51.42(4)(a)1.a.
a. By a two-thirds vote of each county board of supervisors participating in the appointment, on due notice in writing.
51.42(4)(a)1.b.
b. If the member when appointed was a member of the county board of supervisors and the member is not reelected to that office, on due notice in writing.
51.42(4)(a)2.
2. In any county with a county executive or county administrator and which has established a single-county department of community programs, the county executive or county administrator shall appoint, subject to confirmation by the Milwaukee County mental health board in Milwaukee County or the county board of supervisors, the county community programs board, which shall be only a policy-making body determining the broad outlines and principles governing the administration of programs under this section. A member of a county community programs board appointed under this subdivision may be removed by the county executive or county administrator on due notice in writing.
51.42(4)(b)1.1. In a single-county department of community programs the county community programs board shall be composed of not less than 9 nor more than 15 persons of recognized ability and demonstrated interest in the problems of the mentally ill, developmentally disabled, alcoholic or drug dependent persons and shall have representation from the interest group of the mentally ill, the interest group of the developmentally disabled, the interest group of the alcoholic and the interest group of the drug dependent. At least one member appointed to a county community programs board shall be an individual who receives or has received services for mental illness, developmental disability, alcoholism or drug dependency or shall be a family member of such an individual. No more than 5 members may be appointed from the county board of supervisors.
51.42(4)(b)2.
2. In a multicounty department of community programs, the county community programs board shall be composed of 11 members with 3 additional members for each county in a multicounty department of community programs in excess of 2. Appointments shall be made by the county boards of supervisors of the counties in a multicounty department of community programs in a manner acceptable to the counties in the multicounty department of community programs and shall have representation from the interest group of the mentally ill, the interest group of the developmentally disabled, the interest group of the alcoholic and the interest group of the drug dependent. At least one member appointed to a county community programs board shall be an individual who receives or has received services for mental illness, developmental disability, alcoholism or drug dependency or shall be a family member of such an individual. Each of the counties in the multicounty department of community programs may appoint to the county community programs board not more than 3 members from its county board of supervisors.
51.42(4)(d)
(d)
Term. The term of office of any member of a county community programs board shall be 3 years, but of the members first appointed, at least one-third shall be appointed for one year; at least one-third for 2 years; and the remainder for 3 years. Vacancies shall be filled for the residue of the unexpired term in the manner that original appointments are made.
51.42(5)
(5)
Powers and duties of county community programs board in certain counties. 51.42(5)(a)
(a) A county community programs board appointed under sub.
(4) (a) 1. shall do all of the following:
51.42(5)(a)1.
1. Establish long-range goals and intermediate-range plans, detail priorities and estimate costs.
51.42(5)(a)2.
2. Develop coordination of local services and continuity of care where indicated.
51.42(5)(a)3.
3. Utilize available community resources and develop new resources necessary to carry out the purposes of this section.
51.42(5)(a)4.
4. Appoint a county community programs director, subject to the approval of each county board of supervisors which participated in the appointment of the county community programs board, on the basis of recognized and demonstrated interest in and knowledge of the problems of mental health, developmental disability, alcoholism and drug addiction, with due regard to training, experience, executive and administrative ability, and general qualification and fitness for the performance of the duties of the county community programs director under sub.
(6). The county board of supervisors in a county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs may delegate this appointing authority to the county community programs board.
51.42(5)(a)5.
5. Fix the salaries of the employees of the county department of community programs, subject to the approval of each county board of supervisors which participated in the appointment of the county community programs board unless such county board of supervisors elects not to review the salaries.
51.42(5)(a)6.
6. Prepare a proposed budget for submission to the county board and a final budget for submission to the department of health services in accordance with s.
46.031 (1).
51.42(5)(a)7.
7. Appoint committees consisting of residents of the county to advise the county community programs board as it deems necessary.
51.42(5)(a)8.
8. Develop county community programs board operating procedures.
51.42(5)(a)10.
10. Assist in arranging cooperative working agreements with persons providing health, education, vocational or welfare services related to services provided under this section.
51.42(5)(a)12.
12. Determine, subject to the approval of the county board of supervisors in a county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs and with the advice of the county community programs director appointed under subd.
4., whether services are to be provided directly by the county department of community programs or contracted for with other providers and make such contracts. The county board of supervisors in a county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs may elect to require the approval of any such contract by the county board of supervisors in a county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs.
51.42(5)(b)
(b) Subject to the approval of the county board of supervisors in a county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs and with the advice of the county community programs director appointed under par.
(a) 4., a county community programs board appointed under sub.
(4) (a) 1. may, together with a private or public organization or affiliation, do all of the following:
51.42(5)(b)1.
1. Organize, establish and participate in the governance and operation of an entity to operate, wholly or in part, any mental health-related service.
51.42(5)(b)3.
3. Provide administrative and financial services or resources for operation of the entity under subd.
1. on terms prescribed by the county board of supervisors.
51.42(5a)
(5a)
Powers and duties of county community programs board in certain counties with a county executive or county administrator. 51.42(5a)(a)(a) A county community programs board appointed under sub.
(4) (a) 2. shall do all of the following:
51.42(5a)(a)1.
1. Appoint committees consisting of residents of the county to advise the county community programs board as it deems necessary.
51.42(5a)(a)2.
2. Recommend program priorities, identify unmet service needs and prepare short-term and long-term plans and budgets for meeting such priorities and needs.
51.42(5a)(a)3.
3. Prepare, with the assistance of the county community programs director appointed under sub.
(6m), a proposed budget for submission to the county executive or county administrator and a final budget for submission to the department of health services in accordance with s.
46.031 (1) for authorized services.
51.42(5a)(a)4.
4. Advise the county community programs director appointed under sub.
(6m) regarding purchasing and providing services and the selection of purchase of service vendors, and make recommendations to the county executive or county administrator regarding modifications in such purchasing, providing and selection.
51.42(5a)(a)5.
5. Develop county community programs board operating procedures.
51.42(5a)(a)7.
7. Assist in arranging cooperative working agreements with persons providing health, education, vocational or welfare services related to services provided under this section.
51.42(5a)(a)8.
8. Advise the county community programs director regarding coordination of local services and continuity of care.
51.42(5a)(b)
(b) The county community programs director, subject only to the supervision of the county executive or county administrator, may do all of the following:
51.42(5a)(b)1.
1. Organize, establish and participate in the governance and operation of an entity to operate, wholly or in part, any mental health-related service.
51.42(5a)(b)3.
3. Provide administrative and financial services or resources for operation of the entity under subd.
1. on terms prescribed by the county executive or county administrator.
51.42(6)
(6)
Powers and duties of county community programs director in certain counties. A county community programs director appointed under sub.
(5) (a) 4. shall have all of the administrative and executive powers and duties of managing, operating, maintaining, and improving the programs of the county department of community programs, subject to such delegation of authority as is not inconsistent with this section and the rules of the department of health services promulgated under this section. In consultation and agreement with the county community programs board, the county community programs director appointed under sub.
(5) (a) 4. shall do all of the following:
51.42(6)(a)
(a) Prepare an annual comprehensive plan and budget of all funds necessary for the program and services authorized by this section in which priorities and objectives for the year are established as well as any modifications of long-range objectives.
51.42(6)(c)
(c) Prepare an annual report of the operation of the program.
51.42(6)(d)
(d) Prepare other reports as are required by the secretary and the county board of supervisors in a county with a single-county department of community programs or the county boards of supervisors in counties with a multicounty department of community programs.
51.42(6)(e)
(e) Make recommendations to the county community programs board under sub.
(5) for all of the following:
51.42(6)(f)
(f) After consultation with the county community programs board, administer the duties of the county department of community programs under sub.
(3) (aw) 2. 51.42(6m)
(6m)
County community programs director in certain counties with a county executive or county administrator. In any county with a county executive or county administrator in which the county board of supervisors or the Milwaukee County mental health board has established a single-county department of community programs, the county executive or county administrator shall appoint and supervise the county community programs director. In any county with a population of 750,000 or more, the county executive or county administrator shall appoint the director of the county department of human services under s.
46.21 as the county community programs director. The appointment of a county community programs director under this subsection shall be on the basis of recognized and demonstrated interest in and knowledge of the problems of mental health, intellectual disability, alcoholism and drug addiction, with due regard to training, experience, executive and administrative ability, and general qualification and fitness for the performance of the duties of the director. The appointment of a county community programs director under this subsection is subject to confirmation by the county board of supervisors, except in Milwaukee County, unless the county board of supervisors, by ordinance, elects to waive confirmation or unless the appointment is made under a civil service system competitive examination procedure established under s.
59.52 (8) or ch.
63. The county community programs director, subject only to the supervision of the county executive or county administrator, shall:
51.42(6m)(a)
(a) Supervise and administer any program established under this section, subject to such delegation of authority as is not inconsistent with this section and the rules of the department of health services promulgated under this section.
51.42(6m)(b)
(b) Determine administrative and program procedures.
51.42(6m)(c)
(c) Determine, subject to the approval of the county board of supervisors or the Milwaukee County mental health board, as applicable, and with the advice of the county community programs board, whether services are to be provided directly by the county department of community programs or contracted for with other providers and make such contracts. The county board of supervisors, except in Milwaukee County, or the Milwaukee County mental health board in Milwaukee County may elect to require the approval of any such contract by the county board of supervisors or the Milwaukee County mental health board.
51.42(6m)(e)
(e) Assist the county community programs board under sub.
(5a) in the preparation of the budgets required under sub.
(5a) (a) 3. 51.42(6m)(f)
(f) Make recommendations to the county executive or county administrator regarding modifications to the proposed budget prepared by the county community programs board under sub.
(5a) (a) 3. 51.42(6m)(h)
(h) After consultation with the county community programs board under sub.
(5a), administer the duties of the county department of community programs under sub.
(3) (aw) 2. 51.42(6m)(i)
(i) Establish salaries and personnel policies of the programs of the county department of community programs subject to approval of the county executive or county administrator and county board of supervisors, except in Milwaukee County, or the Milwaukee County mental health board in Milwaukee County unless the county board of supervisors or the Milwaukee County mental health board elects not to review the salaries and personnel policies.
51.42(6m)(j)
(j) Perform other functions necessary to manage, operate, maintain and improve programs.
51.42(6m)(L)
(L) Utilize available community resources and develop new resources necessary to carry out the purposes of this section.
51.42(6m)(m)
(m) In consultation with the county community programs board under sub.
(5a), prepare:
51.42(6m)(m)2.
2. An annual report of the operation of the county department of community programs.
51.42(6m)(m)3.
3. Such other reports as are required by the secretary and the county board of supervisors or, as applicable, the Milwaukee County mental health board.
51.42(6m)(n)
(n) Provide for coordination of local services and continuity of care.
51.42(7)
(7)
Duties of the department of health services. 51.42(7)(a)
(a) The department of health services shall:
51.42(7)(a)1.
1. Review requests and certify county departments of community programs and community mental health programs to assure that those county departments and those programs are in compliance with this section.
51.42(7)(a)2.
2. Periodically review and evaluate county departments of community programs to assure compliance with this section. The review shall include a periodic assessment of need which shall separately identify elements of service required under this section. The periodic review of community mental health programs shall be made at least once every 36 months, except that all of the following apply:
51.42(7)(a)2.a.
a. The secretary may require annual review of a community mental health program that, in the immediately preceding 36 months, substantially failed to comply with the requirements for certification or was the subject of grievances or an investigation.
51.42(7)(a)2.b.
b. The department may review and evaluate a community mental health program at any time.
51.42(7)(a)2m.
2m. Review and evaluate at random at least 5 community mental health programs each year. Review and evaluation under this subdivision may be coincident with or in addition to that made under subd.
2. and may be conducted with or without notice to a community mental health program.
51.42(7)(a)3.
3. Provide consultative staff services to communities to assist in ascertaining local needs and in planning, establishing and operating programs.
51.42(7)(a)3m.
3m. Develop a training curriculum for use in training members of county community programs boards and county human services boards. The training curriculum shall delineate the board members' roles and responsibilities and shall provide information on client groups served and programs provided by the county department of community programs or human services. In developing the training curriculum, the department shall consult with representatives of county interests, consumer and advocacy groups and community mental health program providers. The department shall submit the training curriculum to the council on mental health under s.
51.02 (1) (h) for the council's review and comment.
51.42(7)(a)3r.
3r. Establish a training schedule that ensures that county community programs boards and county human services boards in all geographical areas of the state are provided access to training under the training curriculum under subd.
3m. once every 2 years.
51.42(7)(a)5.
5. Ensure that county departments of community programs that elect to provide special education programs to children aged 3 years and under comply with requirements established by the department of public instruction.
51.42(7)(a)6.a.
a. Mental health outpatient and follow-up services appropriate for hearing-impaired mentally ill individuals, including advocacy training relating to the rights of mentally ill individuals.
51.42(7)(a)6.b.
b. Technical assistance to a county department of community programs concerning provision of services to hearing-impaired mentally ill individuals.
51.42(7)(a)7.
7. Develop a program in consultation with the department of safety and professional services to use voluntary, uncompensated services of licensed or certified professionals to assist the department of health services in evaluating community mental health programs in exchange for continuing education credits for the professionals under ss.
448.40 (2) (e) and
455.065 (5).
51.42(7)(a)8.
8. Enter into an agreement with an institution of higher education or a private, nonprofit organization to develop a community mental health client survey prototype. The department shall attempt to secure a grant to fund the development of the survey prototype.
51.42(7)(a)9.
9. Develop a model community mental health plan available for use by counties and to assist them in developing their community plans as required under sub.
(3) (ar) 5. In the process of developing the model community mental health plan, the department shall select 6 counties, both urban and rural, to submit plans to the department for review. The department shall revise the model plan, if necessary, considering the comments of the 6 counties selected. The department shall also consult with the council on mental health and with groups that represent counties, consumers of mental health services and family members of the consumers in developing the model community mental health plan. The department shall establish a schedule that requires each county in this state to submit a plan under sub.
(3) (ar) 5. once every 3 years, in accordance with deadlines established by the subunit of the department with jurisdiction over community mental health. The department, in conjunction with the council on mental health, shall review the plans submitted by counties.
51.42(7)(b)
(b) The department shall promulgate rules which do all of the following:
