Chapter DOC 376

DOC 376.045 DOC 376.045 Conditions of room confinement.

DOC 376.045(1) (1) Punitive room confinement is prohibited.

DOC 376.045(2) (2) Any room used for room confinement shall be suicide resistant and protrusion free to reduce self-harm.

DOC 376.045(3) (3) Staff shall visually monitor youth in confinement. Visual monitoring shall be documented by staff.

DOC 376.045(4) (4) Youth shall spend a minimum of 30 hours per week and no less than 3 hours per day out of their assigned room, with time spent in the general population counted toward those hours.

DOC 376.045(5) (5) Youth shall have additional time out of their room to engage in gross motor exercise, social interaction and sensory stimulation activities unless a determination is made by a supervisor that the youth poses an immediate and substantial risk of physical harm to self or others.

DOC 376.045(6) (6) Youth shall have prompt access to water, toilet facilities, and hygiene supplies, either in their rooms or upon request to a staff member via any readily available communication method within 15 minutes of the request.

DOC 376.045(7) (7) Youth shall have property items similar to or the same as items allowed in the general population unless restricted as needed for safety of the youth or staff on a case-by-case basis. Any restriction shall only be temporary until the restricted items can be safely returned. A supervisor shall review any property restrictions on a daily basis and document the review.

DOC 376.045(8) (8) Youth shall have the ability to attend all regularly scheduled appointments with a social worker, psychology staff, and other health services unless it is determined by the superintendent following review of the psychology staff’s recommendation that the youth continues to present immediate and substantial risk of physical harm to others.

DOC 376.045(9) (9) Youth shall eat their meals out of their room unless a supervisor determines the youth presents an immediate and substantial risk of physical harm to others. If a youth is served their meal in-room a supervisor will document the occurrence including a justification for authorizing the meal in-room.

DOC 376.045(10) (10) Youth shall continue to receive any treatment programming they would regularly attend unless a determination is made by the superintendent following review of the psychology staff’s recommendation that the youth presents an immediate and substantial risk of physical harm to others or an unreasonable risk of significantly disrupting group dynamics. Treatment services may be delivered one-on-one if the youth’s assigned social worker determines this to be in the best interest of the youth. The reasoning for the determination and the manner in which the treatment is provided shall be documented in the youth’s treatment record.

DOC 376.045(11) (11) Youth shall receive educational services with the general population except if a determination is made by staff that the youth presents an immediate and substantial risk of physical harm to others or an unreasonable risk of significantly disrupting class instruction. When this determination is made, staff shall develop an alternative education plan within 24 hours including addressing any applicable special education services for youth.

DOC 376.045(12) (12) Youth must have access to any needed mental health treatment while in room confinement.

DOC 376.045(13) (13) Within 15 minutes of a youth’s placement in room confinement, staff shall orally inform the youth of their rights regarding grievances and appeals as specified in ch. DOC 380. Within one hour of a youth’s placement in room confinement, facility staff shall provide the youth with written notice of their rights regarding grievances and appeals.

DOC 376.045(14) (14) Staff shall create a written report, after room confinement of a youth is completed, documenting the necessity of room confinement, the less restrictive measures attempted to avoid room confinement, and the length of time the youth spent in room confinement. The youth shall be provided a copy of the report immediately upon completion of the report.

DOC 376.045 History History: CR 24-003: cr. Register February 2025 No. 830, eff. 3-1-25.

DOC 376.05 DOC 376.05 Monitoring youth.

DOC 376.05(1) (1) Youth at the facility shall be monitored with the use of video and audio supervision.

DOC 376.05(2) (2) Visual monitoring of youth shall occur at staggered intervals not to exceed 30 minutes.

DOC 376.05(3) (3) Video and audio supervision may include cameras, body cameras, intercoms, microphones, telephone monitoring, or other electronic recording and surveillance devices.

DOC 376.05(4) (4) Information obtained by video or audio supervision or both may be used by the department or law enforcement for purposes that include administrative actions, discipline, program direction, investigations under the Prison Rape Elimination Act, 42 USC 15601, et. Seq. and the standards issued thereunder, 28 CFR part 115, and criminal prosecutions.

DOC 376.05(5) (5) Video or audio supervision or both may not be used during private youth and psychology sessions unless informed consent is given by the youth.

DOC 376.05(6) (6) Video or audio supervision or both may not be used to interfere with or compromise privileged communications between a youth and their attorney.

DOC 376.05 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00; CR 24-003: r. and recr. Register February 2025 No. 830, eff. 3-1-25.

DOC 376.06 DOC 376.06 Youth count. The superintendent shall establish and maintain a system for accurately accounting for the whereabouts of all youth at all times. The system shall interfere as little as practical with school, work, program and recreational activities. The system shall be described in writing. All facility staff shall be familiar with the system.

DOC 376.06 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00; CR 24-003: am. Register February 2025 No. 830, 3-1-25.

DOC 376.07 DOC 376.07 Use of force.

DOC 376.07(1) (1) The superintendent shall enact policies and procedures related to the use of physical force based on juvenile-focused best practices, including a physical force intervention training that is consistent with the provisions of this section.

DOC 376.07(2) (2) Corporal punishment of youth is not permitted under any circumstances.

DOC 376.07(3) (3) Only the minimum force that is reasonably necessary to achieve a proper objective may be used. Excessive force shall not be used.

DOC 376.07(4) (4) Staff may use physical force only if the individual staff member using force reasonably believes that it is immediately necessary to accomplish one of the following purposes:

DOC 376.07(4)(a) (a) To prevent a youth who poses an imminent and substantial risk of physical harm from harming themselves or others.

DOC 376.07(4)(b) (b) To regain control of all or part of a facility during a disturbance as defined in s. DOC 376.20 (1) or an emergency as defined in s. DOC 376.21 (1).

DOC 376.07(4)(c) (c) To prevent the escape of a youth.

DOC 376.07(5) (5) After the use of physical force, the youth who were involved shall be checked for injury and provided appropriate medical services. Staff shall submit a written report to the superintendent regarding any medical services provided.

DOC 376.07(6) (6) If physical force is used, each staff member involved shall submit a separate written report regarding the incident to the superintendent.

DOC 376.07(7) (7) All facility staff shall be trained in de-escalation practices at least annually.

DOC 376.07(8) (8) Staff may use the physical force necessary to prevent death or great bodily harm.

DOC 376.07(9) (9) Youth may not use physical force at any time.

DOC 376.07 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00; CR 24-003: r. and recr. Register February 2025 No. 830, eff. 3-1-25.

DOC 376.08 DOC 376.08 Use of chemical agents. The use of oleoresin capsicum and other chemical agents is prohibited.

DOC 376.08 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00; CR 24-003: r. and recr. Register February 2025 No. 830, eff. 3-1-25.

DOC 376.09 DOC 376.09 Mechanical restraints. Mechanical restraints, including handcuffs, may only be used if staff determine that they are the least restrictive means of addressing an imminent threat of physical harm to self or others and must be removed immediately when the threat of harm or safety concern has abated. The use of mechanical restraints shall be consistent with the provisions of this section and subject to all of the following:

DOC 376.09(1) (1) Under all circumstances, there is a presumption that youth shall not be mechanically restrained.

DOC 376.09(2) (2) No mechanical restraint device other than handcuffs may be used on youth while they are in the facility except under any of the following conditions:

DOC 376.09(2)(a) (a) When ordered by psychology staff to attempt to prevent active self-harm.

DOC 376.09(2)(b) (b) If the youth poses an immediate and substantial threat of physical harm to others.

DOC 376.09(2)(c) (c) During transportation additional restraints such as waist chains or leg restraints may be used when necessary to prevent an imminent threat of harm to youth or others.

DOC 376.09(3) (3) Mechanical restraints shall never be used for punishment or discipline.

DOC 376.09(4) (4) Youth may never be restrained to a fixed object unless specifically ordered by a qualified mental health professional to attempt to prevent active self-harm.

DOC 376.09(5) (5) Only staff trained in the use of physical force, mechanical restraints, and de-escalation techniques may place a youth in mechanical restraints.

DOC 376.09(6) (6) Mechanical restraints may be used during transportation when there is a documented reason to prevent an imminent threat of physical harm to others.

DOC 376.09(7) (7) When youth are being transported for release to a nonlocked environment, restraints may not be used unless to prevent a threat of harm to youth or staff or both.

DOC 376.09(8) (8) Any use of mechanical restraints, except during transportation or authorized by psychology staff, shall be authorized by a supervisor.

DOC 376.09(9) (9) A staff person shall be assigned to monitor a youth who is placed in mechanical restraints and shall remain in continuous auditory and visual contact with the youth. Observations of the youth’s behavior and any staff interventions shall be documented at least every 45 minutes, with the actual time of the observation or intervention recorded.

DOC 376.09(10) (10) Facility staff must document all uses of restraints in the facility, including a description of the events leading up to the use of restraints, the less restrictive alternatives attempted, and the length of time the youth spent in restraints.

DOC 376.09(11) (11) Mechanical restraints in excess of 45 minutes may be used only if all of the following apply:

DOC 376.09(11)(a) (a) The use is approved by the superintendent, safety director or designee.

DOC 376.09(11)(b) (b) The use is approved by psychology staff.

DOC 376.09(11)(c) (c) The superintendent and psychology staff shall review use every 45 minutes thereafter.

DOC 376.09(12) (12) When psychology staff approves additional 45 minutes of mechanical restraint use, as soon as possible and no later than 2 hours following this approval, psychology staff shall evaluate the youth and provide therapeutic interventions to the youth as needed.

DOC 376.09(13) (13) Full body restraints may be used only for the following reasons with authorization from the superintendent in consultation with psychology staff:

DOC 376.09(13)(a) (a) To protect a youth who poses an immediate threat of physical injury to self unless placed in full body restraints.

DOC 376.09(13)(b) (b) To protect a youth in a health emergency that requires full body restraints.

DOC 376.09(13)(c) (c) To protect staff, youth or other persons from a youth who poses an immediate risk of physical injury to others unless placed in full body restraints.

DOC 376.09(14) (14) When staff place a youth in full body restraints under sub. (13) (a) to (c), all of the following apply:

DOC 376.09(14)(a) (a) The shift supervisor shall be present and shall notify the superintendent, a health services professional and the psychologist on call.

DOC 376.09(14)(b) (b) A minimum of 3 staff shall be present when the youth is placed in full body restraints.

DOC 376.09(14)(c) (c) A video and audio recording shall be made as directed by the superintendent.

DOC 376.09(14)(d) (d) A staff psychologist or psychiatrist shall arrange for an on-site evaluation within 2 hours after the application of full body restraints.

DOC 376.09(14)(e) (e) The psychologist or psychiatrist shall recommend to the superintendent whether the youth should remain in full body restraints and what actions should be taken to protect the youth.

DOC 376.09(14)(f) (f) A health services professional shall conduct a physical examination as soon as possible, but not later than one hour after application of full body restraints. A physical examination shall be conducted every 4 hours thereafter by a health services professional.

DOC 376.09(14)(g) (g) Staff shall directly and continuously observe a youth immobilized in full body restraints.

DOC 376.09(14)(h) (h) Youth may be partially released from full body restraints if it is safe to do so to perform bodily functions and for meals. Three staff members, one of whom shall be a supervisor, shall be present before and during the release.

DOC 376.09(14)(i) (i) The youth shall be released immediately if it becomes apparent that full body restraints present a medical risk to the youth.

DOC 376.09(15) (15) Facility staff must document all uses of full body restraints in the facility, including a description of the events leading up to the use of full body restraints, the less restrictive alternatives attempted, and the length of time the youth spent in full body restraints. Staff shall also document:

DOC 376.09(15)(a) (a) The name of the staff making the observation and comments on the youth’s condition and behavior while in full body restraints.

DOC 376.09(15)(b) (b) The dates and times that the youth was observed by clinical staff, a health services professional or a licensed psychologist or psychiatrist, the recommendations made by those persons and whether staff implemented the recommendations.

DOC 376.09(15)(c) (c) Medication given and the time it was given.

DOC 376.09(16) (16) The superintendent may authorize partial or complete release from full body restraints at any time.

DOC 376.09(17) (17) No youth may be immobilized in full body restraints for longer than 12 hours, unless the youth is examined by a psychologist, psychiatrist or the crisis intervention worker, who shall make a written recommendation to the superintendent as to whether the youth should continue to remain in full body restraints. An examination by a psychologist, psychiatrist or crisis intervention leader shall occur thereafter at least every 12 hours that a youth is in full body restraints. The superintendent may authorize the use of restraints for more than 12 hours. The superintendent shall notify the administrator of the decision to continue the use of full body restraints beyond 12 hours and every 12 hours thereafter.

DOC 376.09(18) (18) Staff shall initiate a transfer to a mental health facility under s. 51.35 (3), Stats., if appropriate. Staff shall not retain a youth in full body restraints under sub. (13) (a) to (c) for more than 24 hours, unless a transfer to a mental health facility has been initiated by the facility.

DOC 376.09(19) (19) A monthly report concerning each incident involving the use of full body restraints shall be submitted by the superintendent to the administrator.

DOC 376.09(20) (20) Facilities shall maintain a supply of commercially manufactured mechanical restraints approved by the department. The mechanical restraints shall be periodically examined and any excessively worn or defective mechanical restraints shall be removed from the supply and destroyed.

DOC 376.09 History History: Cr. Register, June, 2000, No. 534, eff. 7-1-00 ; CR 24-003: r. and recr. Register February 2025 No. 830, eff. 3-1-25; correction in (18), (20) made under s. 35.17, Stats., Register February 2025 No. 830.

DOC 376.10 DOC 376.10 Escapes.

DOC 376.10(1) (1) Plan. The facility shall have a written plan approved by the superintendent to be implemented in the event an escape occurs or is attempted. The plan shall be updated annually and shall be filed with the administrator. The plan shall provide for all of the following:

DOC 376.10(1)(a) (a) Reporting the escape to the superintendent and the administrator.

DOC 376.10(1)(b) (b) Staff communication.