DHS 36.13(3)(3) Determination of the need for psychosocial rehabilitation services. The need for psychosocial rehabilitation services shall be determined pursuant to s. DHS 36.14. DHS 36.13(4)(4) Discrimination prohibited. The CCS shall ensure that no consumer is denied benefits or services or is subjected to discrimination on the basis of age, race or ethnicity, religion, color, sexual orientation, marital status, arrest or conviction record, ancestry, national origin, disability, gender, sexual orientation or physical condition. DHS 36.13 HistoryHistory: CR 04-025: cr. Register October 2004 No. 586, eff. 11-1-04. DHS 36.14DHS 36.14 Criteria for determining the need for psychosocial rehabilitation services. Psychosocial rehabilitation services shall be available to individuals who are determined to require more than outpatient counseling but less than the services provided by a community support program under s. 51.421, Stats., and ch. DHS 63, as a result of a department-approved functional screen and meet all of the following criteria: DHS 36.14(1)(1) Has a diagnosis of a mental disorder or a substance use disorder. DHS 36.14(2)(2) Has a functional impairment that interferes with or limits one or more major life activities and results in needs for services that are described as ongoing, comprehensive and either high-intensity or low-intensity. Determination of a qualifying functional impairment is dependent upon whether the applicant meets one of the following descriptions: DHS 36.14(2)(a)(a) ‘Group 1’. Persons in this group include children and adults in need of ongoing, high-intensity, comprehensive services who have diagnoses of a major mental disorder or substance-use disorder, and substantial needs for psychiatric, substance abuse, or addiction treatment. DHS 36.14(2)(b)(b) ‘Group 2’. Persons in this group include children and adults in need of ongoing, low-intensity comprehensive services who have a diagnosed mental or substance-use disorder. These individuals generally function in a fairly independent and stable manner but may occasionally experience acute psychiatric crises. DHS 36.14 NoteNote: Appropriate identification of mental health or substance-use related problems for this group is critical, especially because they are often first seen in non-mental health or substance-use treatment settings, e.g., primary care sector, school system, law enforcement, child welfare, aging services, domestic violence shelters, etc.
DHS 36.14(3)(a)(a) If the department-approved functional screen cannot be completed at the time of the consumer’s application, the CCS shall conduct an assessment of the applicant’s needs pursuant to s. DHS 36.16 (3) and (4). An assessment conducted under s. DHS 36.16 (3) and (4) may be abbreviated if any one of the conditions under s. DHS 36.16 (5) applies. DHS 36.14(3)(b)(b) If an applicant is determined to not need psychosocial rehabilitation services, no additional psychosocial rehabilitation services may be provided to the applicant by the CCS program. The applicant shall be given written notice of the determination and referred to a non-CCS program. The applicant may submit a written request for a review of the determination to the department. DHS 36.14 NoteNote: A written request for a review of the determination of need for psychosocial rehabilitation services should be addressed to the Bureau of Mental Health and Substance Abuse Services, 1 W. Wilson Street, Room 433, PO Box 7851, Madison, WI 53707-7851.
DHS 36.14(3)(c)(c) If an applicant is determined to need psychosocial rehabilitation services, a comprehensive assessment shall be conducted under s. DHS 36.16 (3) and (4) unless the following conditions are present: DHS 36.14 HistoryHistory: CR 04-025: cr. Register October 2004 No. 586, eff. 11-1-04; correction in (intro.) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635. DHS 36.15DHS 36.15 Authorization of services. DHS 36.15(1)(1) Before a service is provided to an applicant under s. DHS 36.13 (2) or 36.17, a mental health professional shall do all of the following: DHS 36.15(1)(a)(a) Review and attest to the applicant’s need for psychosocial rehabilitation services and medical and supportive activities to address the desired recovery goals. DHS 36.15(1)(b)(b) Assure that a statement authorizing the proposed psychosocial rehabilitation services under the standards set forth in par. (a) is provided and filed in the consumer service record. DHS 36.15(2)(2) If the applicant has or may have a substance-use disorder, a substance abuse professional shall also sign the authorization for services. DHS 36.15 HistoryHistory: CR 04-025: cr. Register October 2004 No. 586, eff. 11-1-04. DHS 36.16(1)(1) Policies and procedures. The CCS shall implement policies and procedures that address the requirements under this section. DHS 36.16(2)(2) Facilitation. All of the following shall occur concerning the assessment: DHS 36.16(2)(a)(a) The assessment process and the assessment summary required under sub. (6) shall be completed within 30 days of receipt of an application for services. The assessment process shall be explained to the consumer and, if appropriate, a legal representative or family member. DHS 36.16(2)(b)(b) The assessment process shall be facilitated by a service facilitator. DHS 36.16(2)(c)(c) Substance use diagnoses shall be established by a substance abuse professional. An assessment of the consumer’s substance use, strengths and treatment needs also shall be conducted by a substance abuse professional. DHS 36.16(2)(d)(d) The assessment process shall incorporate, to the greatest extent possible, the consumer’s unique perspective and own words about how he or she views his or her recovery, experience, challenges, strengths, resources and needs in each of the domains included in the assessment process. DHS 36.16(3)(3) Assessment criteria. The assessment shall be comprehensive and accurate. The assessment shall be conducted within the context of the domains listed in sub. (4), and any other domains identified by the CCS, and shall be consistent with all of the following: DHS 36.16(3)(a)(a) Be based upon known facts and recent information and evaluations and include assessment for co-existing mental health disorders, substance-use disorders, physical or mental impairments and medical problems. DHS 36.16(3)(c)(c) Address the strengths, needs, recovery goals, priorities, preferences, values and lifestyle of the consumer. DHS 36.16(3)(d)(d) Address age and developmental factors that influence appropriate outcomes, goals and methods for addressing them. DHS 36.16(3)(e)(e) Identify the cultural and environmental supports as they affect identified goals and desired outcomes and preferred methods for achieving the identified goals. DHS 36.16(3)(f)(f) Identify the consumer’s recovery goals and understanding of options for treatment, psychosocial rehabilitation services and self-help programs to address those goals. DHS 36.16(4)(4) Assessment domains. The assessment process shall address all of the following domains of functioning: DHS 36.16(4)(c)(c) Social network and family involvement. In this paragraph “family involvement” means the activities of a family member to support a consumer receiving psychosocial rehabilitation services. Except where rights of visitation have been terminated, the family of a minor shall always be included. The family of an adult consumer may be involved only when the adult has given written permission. DHS 36.16(5)(a)(a) The assessment in sub. (3) may be abbreviated if the consumer has signed an admission agreement and one of the following circumstances apply: DHS 36.16(5)(a)1.1. The consumer’s health or symptoms are such that only limited information can be obtained immediately. DHS 36.16(5)(a)2.2. The consumer chooses not to provide information necessary to complete a comprehensive assessment at the time of application. DHS 36.16(5)(a)3.3. The consumer is immediately interested in receiving only specified services that require limited information. DHS 36.16(5)(b)(b) An assessment conducted under this subsection shall meet the requirements under sub. (3) to the extent possible within the context that precluded a comprehensive assessment. DHS 36.16(5)(c)(c) The assessment summary required to be completed under sub. (6) shall include the specific reason for abbreviating the assessment. DHS 36.16(5)(d)(d) An abbreviated assessment shall be valid for up to 3 months from the date of the application. Upon the expiration date, a comprehensive assessment shall be conducted to continue psychosocial rehabilitation services. If a comprehensive assessment cannot be conducted when the abbreviated assessment expires, the applicant shall be given notice of a determination that the consumer does not need psychosocial rehabilitation services pursuant to the requirements of s. DHS 36.14 (3) (b). DHS 36.16(6)(6) Assessment summary. The assessment shall be documented in an assessment summary that shall be prepared by a member of the recovery team and shall include all of the following: DHS 36.16(6)(a)(a) The period of time within which the assessment was conducted. Each meeting date shall be included. DHS 36.16(6)(b)(b) The information on which outcomes and service recommendations are based. DHS 36.16(6)(c)(c) Desired outcomes and measurable goals desired by the consumer. DHS 36.16(6)(d)(d) The names and relationship to the consumer of all individuals who participated in the assessment process. DHS 36.16(6)(e)(e) Significant differences of opinion, if any, which are not resolved among members of the recovery team. DHS 36.16(6)(f)(f) Signatures of persons present at meetings being summarized. DHS 36.16(7)(a)(a) The consumer shall be asked to participate in identifying members of the recovery team. DHS 36.16(7)(am)3.3. A mental health professional or substance abuse professional. If the consumer has or is believed to have a co-occurring condition, the recovery team shall consult with an individual who has the qualifications of a mental health professional and substance abuse professional or shall include both a mental health professional and substance abuse professional or a person who has the qualifications of both a mental health professional and substance abuse professional on the recovery team. DHS 36.16(7)(am)4.4. Service providers, family members, natural supports and advocates shall be included on the recovery team, with the consumer’s consent, unless their participation is unobtainable or inappropriate. DHS 36.16(7)(am)5.5. If the consumer is a minor or is incompetent or incapacitated, a parent or legal representative of the consumer, as applicable, shall be included on the recovery team. DHS 36.16(7)(b)1.1. The recovery team shall participate in the assessment process and in service planning. The role of each team member shall be guided by the nature of team member’s relationship to the consumer and the scope of the team member’s practice. DHS 36.16(7)(b)2.2. Team members shall provide information, evaluate input from various sources, and make collaborative recommendations regarding outcomes, psychosocial rehabilitation services and supportive activities. This partnership shall be built upon the cultural norms of the consumer. DHS 36.16 HistoryHistory: CR 04-025: cr. Register October 2004 No. 586, eff. 11-1-04. DHS 36.17DHS 36.17 Service planning and delivery processes. DHS 36.17(1)(1) Policies and procedures. The CCS shall implement policies and procedures that address the requirements under this section. DHS 36.17(2)(a)(a) A written service plan shall be based upon the assessment and completed within 30 days of the consumer’s application for services. The service plan shall include a description of all of the following: DHS 36.17(2)(b)(b) The service planning process shall be explained to the consumer and, if appropriate, a legal representative or family member. DHS 36.17(2)(c)(c) The service planning process shall be facilitated by the service facilitator in collaboration with the consumer and recovery team. DHS 36.17(2)(d)(d) Service planning shall address the needs and recovery goals identified in the assessment.
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