DOC 347.25(11) (11) The facility shall provide access to emergency mental health care and transportation, if necessary.

DOC 347.25 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.26 DOC 347.26 Suicide and self-harm prevention.

DOC 347.26(1) (1) Risk of serious harm. The facility shall do all of the following:

DOC 347.26(1)(a) (a) Obtain documented information from a transporting agency’s observation pertaining to a youth’s mental health and potential for suicide or self-harm.

DOC 347.26(1)(b) (b) Determine whether the youth has ever considered or engaged in self-harm or attempted suicide.

DOC 347.26(1)(c) (c) Require staff to immediately notify qualified medical and mental health professionals of all incidents of self-harm or attempted self-harm. The notification and incident shall be documented.

DOC 347.26(1)(d) (d) Require staff to immediately notify qualified medical and mental health professionals of youth who have communicated having ideation, plan, or intent to engage in self-harm or suicide. The notification and incident shall be documented.

DOC 347.26(2) (2) Suicide or self-harm watch. The facility shall do all of the following:

DOC 347.26(2)(a) (a) Identify designated supervisory staff to be notified if a youth is determined to be a suicide or self-harm risk.

DOC 347.26(2)(b) (b) Designate areas within the facility and provide security precautions for youth who are placed on suicide or self-harm watch.

DOC 347.26(2)(c) (c) Establish monitoring procedures for youth on suicide or self-harm watch, including frequency and documentation of wellness checks under s. DOC 347.48.

DOC 347.26(3) (3) Youth supervision. The facility shall do all of the following:

DOC 347.26(3)(a) (a) Identify staff who may initiate a suicide or self-harm watch.

DOC 347.26(3)(b) (b) Require notification to qualified mental health professionals when the youth is placed on suicide or self-harm watch. Assessment by a qualified mental health professional shall be completed as soon as practicable.

DOC 347.26(3)(c) (c) Identify qualified mental health professionals who are authorized to remove a youth from a suicide or self-harm watch status after an in-person assessment.

DOC 347.26(3)(d) (d) Establish requirements for the frequency of communication between health care and facility staff regarding the status of a youth who is on suicide or self-harm watch.

DOC 347.26(3)(e) (e) Establish an intervention protocol during an apparent suicide or self-harm attempt, including life-sustaining measures.

DOC 347.26(3)(f) (f) Notify the youth’s parent or legal guardian any time a youth is placed on suicide or self-harm watch.

DOC 347.26(3)(g) (g) Notify the youth’s case worker in the county or tribe of supervision any time a youth is placed on suicide or self-harm watch.

DOC 347.26(3)(h) (h) Identify persons to be notified in case of attempted or completed suicides or self-harm.

DOC 347.26(4) (4) Documentation. The facility shall document actions taken and decisions made regarding youth who are at risk of attempting suicide or self-harm, including all of the following:

DOC 347.26(4)(a) (a) Individual initiating the suicide or self-harm watch.

DOC 347.26(4)(b) (b) Date and time watch was initiated.

DOC 347.26(4)(c) (c) Reason watch was initiated.

DOC 347.26(4)(d) (d) Date, time, and name of supervisor contacted.

DOC 347.26(4)(e) (e) Date and time of referral to a qualified mental health professional.

DOC 347.26(4)(f) (f) Written documentation from the qualified mental health professional removing a youth from a suicide or self-harm watch including name, date, and time.

DOC 347.26(4)(g) (g) Date and time of notification to youth’s parent or legal guardian under sub. (3) (f).