Wisconsin Legislature: DHS 63.12(7)(c)

(d) Financial support such as supplemental security income, social security disability insurance and general relief and money management services; and

(e) Living accommodations, including locating, financing and maintaining safe and normal living arrangements and enabling the client to relate to his or her landlord and neighbors in an acceptable manner.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89.

DHS 63.12 Case management.

(1) Single point of contact for a client. Each CSP client shall have a designated case manager who shall be responsible for maintaining a clinical treatment relationship with the client on a continuing basis whether the client is in the hospital, in the community, or involved with other agencies. Case managers shall meet the qualifications for clinical coordinators under s. DHS 63.06 (2) (c) or staff under s. DHS 63.06 (4) (a) 1. to 8.

(2) Coordination of treatment.

(a) The case manager shall work with other CSP professional and paraprofessional staff and other agencies to:

1. Coordinate the assessment under s. DHS 63.10 (1) and ensure that a diagnosis is made;

2. Develop and implement the treatment plan under s. DHS 63.10 (2); and

3. Directly provide or coordinate treatment and services.

(b) The case manager shall work with other CSP staff and community agency staff to ensure that treatment plans are updated in accordance with s. DHS 63.10 (2) (a).

(3) Coordination of referrals.

(a) A CSP shall have policies and procedures that facilitate coordination of referrals and ensure follow-up of clients referred to other community service providers.

(b) The case manager shall work with other community agency or community service staff to:

1. Coordinate linkages and referrals;

2. Coordinate contracting for specialized assessment and diagnosis or treatment, rehabilitation and support services; and

3. Integrate other agency or service activities into the CSP treatment plan.

(4) Monitoring symptom status.

(a) The case manager shall assess, on a consistent basis, the client’s symptom status. Changes in status shall be documented in the client’s treatment record to measure progress or decompensation.

(b) The case manager shall keep the CSP program director and clinical coordinator informed of all changes in symptom status by signed notation in the client’s treatment record.

(c) The case manager shall coordinate the provision of emergency services when a client is in crisis and shall provide documentation in the client’s treatment record of emergency services provided.

(5) Supportive psychotherapy and education. The case manager shall coordinate the provision of or provide supportive psychotherapy and education in symptom and illness management to the client.

(6) Advocacy.

(a) The case manager shall advocate for and help his or her clients obtain needed benefits and services, including general relief, supplemental security income, housing subsidies, food stamps, medical assistance and legal services.

(b) The case manager shall work with existing community agencies to develop needed CSP resources, including housing, employment options and income assistance.

(7) Education, support and consultation to clients’ families and other major supports.

(a) The case manager shall determine what support, consultation and education the client’s family may need from the CSP to manage the symptoms and illness of the client family member.

(b) The case manager shall coordinate support and consult with the client’s family at time intervals as specified in the client’s treatment plan.

(c) The case manager shall provide the client’s other support systems with education and information about chronic mental illness and community support program treatment.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89.

DHS 63.13 Client rights. A CSP shall have policies and procedures that ensure that client rights are protected in accordance with s. 51.61, Stats., and ch. DHS 94. The CSP shall require all case managers to assist clients in asserting their rights under s. 51.61, Stats., and ch. DHS 94.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89; corrections made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.

DHS 63.14 Complaints. A CSP shall have procedures for reporting and investigating alleged unethical, illegal or grossly negligent acts affecting clients and violation of written policies and procedures. The procedures shall also address both client and staff reporting of complaints regarding program procedures, staff and services.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89.

DHS 63.15 Client records.

(1) A CSP shall maintain a treatment record for each client. The record shall include information that is sufficiently detailed to enable a person not familiar with the CSP to identify the types of services the client has received.

(2) The CSP director is responsible for the maintenance and security of client treatment records.

(3) Client treatment records shall be maintained in a central location.

(4) Client treatment records shall be kept confidential and safeguarded as required under s. 51.30, Stats., and ch. DHS 92.

(5) The treatment recordkeeping format shall provide for consistency within the CSP and shall facilitate information retrieval. Treatment records shall include:

(a) Results of all examinations, tests and other assessment information;

(b) Reports from referring sources;

(d) Medication records, which shall document ongoing monitoring of administration of medications and the detection of adverse drug reactions. All medication orders in the client treatment record shall specify the name of the medication, dose, route of administration, frequency of administration, person administering and name of the physician who prescribed the medication;

(e) Records of referrals of the client to outside resources;

(f) Reports from outside resources;

(g) Multidisciplinary case conference and consultation notes;

(h) Consent for disclosure of information release forms;

(i) Progress notes which shall document the location where the service was provided; and

(j) Discharge documentation.

(6) There shall be a policy governing the disposal of client records.

(7) There shall be a policy concerning the disposition of client records in the event of the CSP closing.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89; correction in (4) made under s. 13.93 (2m) (b) 7., Stats., Register December 2004 No. 588; correction in (4) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.

DHS 63.16 Discharge. Documentation by the client’s case manager, clinical coordinator and psychiatrist of a client’s discharge from a CSP shall be entered in the client’s treatment record within one week after termination of treatment or services. Documentation of discharge shall include:

(1) The reasons for discharge;

(2) The client’s status and condition at discharge;

(3) A written final evaluation summary of the client’s progress toward the goals set forth in the treatment plan;

(4) A plan developed, in conjunction with the client, for care after discharge and for follow-up; and

(5) The signature of the case manager, clinical coordinator and psychiatrist.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89.

DHS 63.17 Program evaluation.

(1) Each CSP shall have an evaluation plan, which shall include:

(a) A statement of the program’s objectives. The objectives shall relate directly to the program’s clients or target population;

(b) Measurable criteria to be applied in determining whether or not the objectives under par. (a) are achieved;

(d) Methods for assessing the effective utilization of staff and resources toward the attainment of the objectives.

(2) In addition to the evaluation plan required under sub. (1), a CSP shall have a system for regular review that is designed to evaluate the appropriateness of admissions to the program, length of stay, treatment or service plans, discharge practices and other factors that may contribute to effective use of the program’s resources.

(3) An annual report on the program’s progress in meeting its objectives shall be prepared, distributed to interested persons and made available to the department upon request.

(4) The CSP’s governing body or appropriate authority shall review the annual report.

History: Cr. Register, April, 1989, No. 400, eff. 5-1-89.