A copy of the request for registration with the U.S. drug enforcement administration for the use of narcotic medications in the treatment of opiate addiction.
A narrative description of the treatment services that will be provided in addition to chemotherapy.
A copy of the policy and procedures manual for the service, detailing the operation of the service as follows:
A description of the service's use of testing or analysis to detect substances and the purposes for which the results of testing or analysis are used as well as the frequency of use.
Documentation that there are adequate physical facilities to provide all necessary services.
Documentation that the service will have ready access to a comprehensive range of medical and rehabilitative services that will be available if needed.
The name, address, and a description of each hospital, institution, clinical laboratory or other facility available to provide the necessary services.
A list of persons working in the service who are licensed to administer or dispense narcotic drugs even if they are not responsible for administering or dispensing narcotic drugs.
Approval of service sites.
Only service sites approved by the FDA, the U.S. drug enforcement administration and the state methadone authority may be used for treating narcotic addicts with a narcotic drug.
To operate a medication unit, a service shall apply to the department for approval to operate the medication unit. A separate approval is required for each medication unit to be operated by the service. A medication unit is established to facilitate the needs of patients who are stabilized on an optimal dosage level. The department shall approve a medication unit before it may begin operation.
Approval of a medication unit shall take into consideration the distribution of patients and other medication units in a geographic area.
If a service has its approval revoked, the approval of each medication unit operated by the service is automatically revoked. Revocation of the approval of a medication unit does not automatically affect the approval of the primary service.
DHS 75.15 Note
Note: To apply for approval to operate a medication unit, contact the State Methadone Authority in the Bureau of Prevention, Treatment and Recovery at P.O. Box 7851, Madison, WI 53707-7851. Approvals of the Center for Substance Abuse Treatment and the U.S. Drug Enforcement Administration to operate a medication unit are also required. The State Methadone Authority will facilitate the application consideration by the Center for Substance Abuse Treatment and the U.S. Drug Enforcement Administration.
A person who sponsors a narcotic treatment service for opiate addiction and any personnel responsible for a particular service shall agree in writing to adhere to all applicable requirements of this chapter and 21 CFR Part 291
and 42 CFR Part 2
The service sponsor is responsible for all service staff and for all other service providers who work in the service at the primary facility or at other facilities or medication units.
The service sponsor shall agree in writing to inform all service staff and all contracted service providers of the provisions of all pertinent state rules and federal regulations and shall monitor their activities to ensure that they comply with those rules and regulations.
The service shall notify the designated federal agency and state methadone authority within 3 weeks after replacement of the service sponsor or medical director.
(22) Death reporting.
A narcotic treatment service for opiate addiction shall report the death of any of its patients to the state methadone authority within one week after learning of the patient's death.
DHS 75.15 History
Cr. Register, July, 2000, No. 535
, eff. 8-1-00; correction in (8) (b) 2. made under s. 13.92 (4) (b) 7.
, Stats., Register November 2008 No. 635
; CR 09-109
: am. (4) (d) and (e), cr. (4) (dm) Register May 2010 No. 653
, eff. 6-1-10; correction in (4) (dm), (e) made under s. 13.92 (4) (b) 7.
, Stats. Register November 2011 No. 671
; EmR 1913: emerg. r. (9) (a), eff. 9-1-19; CR 19-021: r. (9) (a) Register December 2019 No. 768, eff. 1-1-20
Intervention services may include outreach; problem identification; referral; information; specialized education; case management; consultation; training; support or drop-in services; intensive supervision; alternative education; and intoxicated driver assessments under ch. DHS 62
To receive certification from the department under this chapter, an intervention service shall comply with the requirements included in s. DHS 75.03
that apply to an intervention service, and with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03
, the requirement in this section shall be followed.
If an intervention service is designated by a board under s. DHS 62.04 (1)
as an assessment facility, the intervention service shall also comply with the requirements under ch. DHS 62
(3) Required personnel.
In addition to the personnel required under s. DHS 75.03 (4)
, an intervention service shall have the following personnel:
Staff knowledgeable of the pharmacology of substances, addiction, and addiction intervention with training and experience in alcohol and drug problem outreach, detecting and identifying problems, screening under s. DHS 75.03 (10) (c)
, family intervention, and referral. Staff shall have knowledge, training, and experience in the service which they are responsible for providing.
A substance abuse counselor, employed by or under contract with an approved service under ss. DHS 75.05
, shall be available to conduct substance use evaluations and develop treatment recommendations as needed. A substance abuse counselor is not required for the assessment of drivers under ch. DHS 62
Qualified staff, designated by the agency director, may conduct psychosocial evaluations, administer multidisciplinary screening tools, provide education, outreach, intervention and support, and make referrals as needed.
Social workers, physicians, psychologists, and psychiatrists shall be available for referral as needed.
A plan for outreach and intervention services to various target populations shall be developed and implemented. Included in this plan shall be a provision of outreach and intervention services outside regular office hours and office location.
Substance use screenings and evaluations shall be completed by qualified staff to determine the presence of alcohol and other drug use problems.
Information shall be provided about alcohol and other drug use or abuse to assist clients in decision making.
Assistance shall be provided to individuals regarding sources of help, referrals and arrangements for services.
The service shall develop a system of referral that includes a current listing of agencies, organizations, and individuals to whom referrals may be made and a brief description of the range of services available from each referral resource.
There shall be a written plan for and follow-up that includes qualified service organization agreements with treatment agencies to determine follow-through on referrals for service.
Operating hours of the program shall be scheduled to allow access at reasonable times and shall be so documented.
The program shall provide reasonable access for walk-in or drop-in clients.
Information shall be provided to ensure public awareness of program operation, location, purpose, and accessibility.
There shall be a written agreement for provision of 24-hour telephone coverage, 7 days a week, to provide crisis counseling, alcohol and drug information, referral to service agencies and related information. Staff without previous experience in providing these telephone services shall complete 40 hours of staff development training prior to assuming job responsibilities.
Records shall be maintained to document the services provided.
The service shall have an evaluation plan. The evaluation plan shall include all of the following:
A written statement of the service's goals, objectives, and measurable expected outcomes that relate directly to the service's participants or target population.
Methods for evaluating and measuring the effectiveness of services and using the information for service improvement.
The service director shall complete an annual report on the service's progress in meeting goals and objectives and shall keep the report on file and shall make it available for review to an authorized representative of the department upon request.
The governing authority or legal owner of the service and the service director shall review all evaluation reports and make changes in service operations as appropriate.
Alternative education programs shall be modeled after group dynamic traffic safety and multiple offender traffic safety programs and shall achieve a constructive, interactive, cohesive, and trusting atmosphere in the group; review and discuss operating while intoxicated laws and penalties; address the central causes and consequences of driving while intoxicated; discuss the effects of alcohol and substances on the mind, body, and driving ability; discuss the psycho-social factors involved in alcohol and substance use; explore blood alcohol concentration and the differences between alcohol and substance use, abuse, and addiction and where participants are at in relation to it; and assist the participant in developing and following a personal change plan.
In addition to the content and objectives under subd. 1.
, programs in lieu of a multiple offender traffic safety program shall involve concerned others, such as a spouse, parent, adult relative, or other appropriate person approved by the instructor and shall provide education on basic skills in the areas of stress-reduction, alcohol and drug refusal, interpersonal communication, and anger management.
Classroom instruction time for programs that are in lieu of group dynamic traffic safety programs shall be a minimum of 16 hours.
Classroom instruction time for programs that are in lieu of multiple offender traffic safety programs shall be a minimum of 24 hours, including a group-oriented follow-up session. The group-oriented follow-up session shall be held within 3 months after completion of the initial 23 hours of the program. If a participant's residence is 60 miles or more from the site of the group-oriented follow-up session, the follow-up session may be conducted by telephone with the participant and a concerned other, such as a spouse, parent, adult relative, or other appropriate person.
A report of course completion or non-completion shall be submitted to the intoxicated driver assessment facility designated under s. DHS 62.04 (1)
for each client assessed by that facility.
Participants completing a program under this section are not entitled to a 3-point reduction in the points assessed against the participant's operator's license.
The effectiveness of alternative education programs shall be evaluated by administering pretests and posttests of knowledge gained by participants, changed attitudes of participants, and participant satisfaction surveys.
Instructors conducting alternative education shall have the following qualifications:
Alcohol and other drug abuse experience equal to one of the following:
Two years of employment experience or a comparable amount of experience and education in the area of alcohol and other drug abuse counseling, assessment, education, or treatment or related fields such as student assistance program director or employee assistance program director.
Completed a minimum of a one semester, 3-credit, 45-hour course in the area of alcohol and other drug abuse education or treatment from an accredited college.
Two years employment experience in group process work or group counseling as a treatment or education professional.
Completed a minimum of a one semester, 3-credit, 45-hour course in the area of group work methods, group counseling or group process from an accredited college.
Bachelor's or master's degree in guidance counseling, psychology, behavioral studies or social work.
Hold a valid driver's license from the state of Wisconsin or from the jurisdiction in which the person resides. Programs having nonresident instructors shall maintain a record of the nonresident's driver's license and traffic conviction status in the past 12 months.
An individual may not be employed as an instructor until 6 months after the date of any traffic conviction that results in an accumulation of 7 or more points against the individual's driver's license, or until 12 months from the date of an operating while intoxicated conviction under s. 23.33
, or 940.25
, Stats., or an order under s. 343.305
Instructors under this section are not eligible to receive a 3-point reduction by completing a traffic safety course.
Once employed as an instructor under this section, an individual's failure to maintain a satisfactory driving record shall result in the suspension of the individual's instruction duties for 6 months from the date of conviction for a violation which places the point total over 6 points or for 12 months from the date of an operating while intoxicated conviction. If additional points are incurred or the individual is convicted of an operating while intoxicated during the suspension period, the individual's instruction duties shall be suspended for 12 months from the date of conviction for a violation which results in points or for 24 months from the date of an operating while intoxicated conviction.
Instructors shall document receiving a minimum of 6 hours of continuing education in a related area, approved by the department, during each 12 months that the individual is employed as an instructor under this section. This training may include formal courses awarding credits or continuing education units, workshops, seminars, or correspondence courses.
Agencies providing an alternative education program shall comply with all requirements included in s. DHS 75.03
that apply to an intervention service as shown in Table DHS 75.03 and this section except alternative education services are not required to meet the requirement under sub. (4) (j)
Alternative education programs provided by agencies certified under s. DHS 75.13
need not also be approved under this section. However, the program shall comply with all the requirements that apply to alternative education programs under this subsection.
The purpose of case management under this section is to bring services, agencies, resources and people together within a planned framework for in order to develop, link, advocate for and monitor the provision of appropriate educational, intervention, treatment, or support services for a client with alcohol or other drug abuse problems in a coordinated, efficient and effective manner and meet the client's individual needs or the requirements of the driver safety plan under s. DHS 62.07 (6)
Staff providing case management services shall have knowledge, training, and experience in providing case management.
Agencies providing case management shall comply with all requirements included in s. DHS 75.03
that apply to an intervention service as shown in Table DHS 75.03 and this subsection except case management services are not required to meet the requirement under sub. (4) (j)
Case management services provided by agencies certified under s. DHS 75.13
need not also be approved under this section. However, the program shall comply with all the requirements that apply to case management services under this subsection.