DHS 75.03(48)(48) “Knowledgeable in addiction treatment” means a clinical staff who possesses postsecondary coursework, continuing education coursework, or supervised professional experience to establish their training and competence in all of the following domains: DHS 75.03(48)(c)(c) Considerations for special populations in substance use treatment. DHS 75.03(48)(f)(f) Assessing and responding to safety risks related to substance use and employing harm-reduction strategies in addiction treatment. DHS 75.03(49)(49) “Level of care” means the discrete category of patient placement, based on intensity and frequency of treatment provided by a service under ss. DHS 75.15 and 75.49 to 75.60, that is matched to the individual’s need based on ASAM or other department-approved placement criteria. DHS 75.03(50)(50) “Licensed professional” means a person who holds one of the following licenses or certifications issued by DSPS, but does not include professionals in training under such licenses or certifications: DHS 75.03(50)(a)(a) A clinical social worker, licensed marriage and family therapist, or licensed professional counselor under ch. 457, Stats. DHS 75.03(51)(51) “Medical director” means a person who is employed as the chief medical officer of a service, who is also licensed to practice medicine or osteopathy under ch. 448, Stats., and who also possesses any of the following qualifications: DHS 75.03(51)(b)(b) A certification in addiction psychiatry by the American Board of Psychiatry and Neurology. DHS 75.03(51)(c)(c) A subspecialty certification in addiction medicine by a recognized board of the American Board of Medical Specialties. DHS 75.03(51)(d)(d) Completion of a certificate of Added Qualification in Addiction Medicine conferred by the American Osteopathic Association. DHS 75.03(51)(dm)(dm) A prior certification by the American Board of Addiction Medicine. DHS 75.03(51)(e)(e) Completion of an accredited residency or fellowship in addiction medicine or addiction psychiatry. DHS 75.03(51)(f)(f) Knowledgeable in addiction treatment and has one year of addiction medicine experience, although certification is preferred. DHS 75.03(51)(g)(g) Working toward certification in addiction medicine or addiction psychiatry and has one year of addiction medicine experience, although certification is preferred. DHS 75.03 NoteNote: If a service is not able to secure a medical director who meets the requirement of 1 year of addiction medicine experience, as documented through the service’s recruitment efforts, the service may utilize a medical director who has a specific plan to acquire equivalent training and skills within 4 months after beginning employment.
DHS 75.03(52)(52) “Medical personnel” means a physician, a physician assistant, nurse prescriber or other health care personnel licensed, at a minimum, to the level of a registered nurse or licensed practical nurse. DHS 75.03(53)(53) “Medical screening” means the examination conducted by medical personnel of a person to ascertain eligibility for admission to a treatment service under this chapter and to assess the person’s medical needs. DHS 75.03(54)(54) “Medical services” means services designed to address the medical needs of a patient, which may include a physical examination, evaluating, managing and monitoring health-related risks of withdrawal from alcohol and other substances, administration of medications and behavioral-health related medical care, within the scope of practice of the providing staff member. DHS 75.03(55)(55) “Medication-assisted treatment” means the use of FDA-approved medications, in combination with counseling and behavioral therapies, to treat substance use disorders. DHS 75.03(56)(56) “Mental health professional” means an individual authorized to practice psychology, marriage and family therapy, professional counseling, or clinical social work, pursuant to ch. 455 or 457, Stats. DHS 75.03(57)(57) “Mental health treatment” means the delivery of clinical services for the purpose of addressing a mental health disorder as defined in the DSM. DHS 75.03(58)(58) “Minor” means an individual under the age of 18. DHS 75.03(59)(59) “Motivational approach” means an interactional technique that uses collaboration and empathy in purposeful communication that enhances an individual’s motivation for change. DHS 75.03(60)(60) “Nurse prescriber” means an advanced practice nurse authorized under ch. 441 Stats., to issue prescriptions or medication orders. DHS 75.03(61)(61) “Nursing director” means a staff of a service that is at least a registered nurse, but may be licensed or certified as a nurse prescriber, physician assistant, or physician. DHS 75.03(62)(62) “Nursing services” means behavioral health or medical services, provided by a nurse licensed under ch. 441, Stats., and operating within their scope of practice, that support screening, assessment, and treatment for patients of a service. DHS 75.03(63)(63) “Outreach,” means services that are provided to enhance engagement or to initiate recommended treatment services. DHS 75.03(64)(64) “Patient” or “client,” means an individual who is receiving substance use assessment or treatment services, including emergency services described in s. DHS 75.24 (2), or an individual who has completed intake for a service under this chapter. An individual remains a patient of a service until the date of discharge as established in s. DHS 75.24 (22). DHS 75.03(65)(65) “Physically accessible” means a facility that persons with functional limitations caused by impairments of sight, hearing, coordination, cognition, or perception, or persons with disabilities that cause them to be semi-ambulatory or non-ambulatory may readily enter, leave, and circulate within, and in which they can use public restrooms and elevators. DHS 75.03(66)(66) “Physician” means a person licensed to practice medicine or osteopathy under ch. 448, Stats. DHS 75.03(67)(67) “Physician assistant” means a person licensed under ch. 448 Stats. DHS 75.03(68)(68) “Placement criteria” means a standardized screening and assessment process or tool, such as ASAM placement criteria, that evaluates social, behavioral health, and physical health dimensions to identify an individual’s need and risk level to ensure that services are appropriately matched to the patient’s needs at the appropriate time. DHS 75.03(69)(69) “Preliminary treatment plan” means an initial plan for care and services that is initiated prior to completion of a comprehensive assessment due to emergent needs of a patient. DHS 75.03(70)(70) “Prescriber” means a physician, physician assistant, or nurse prescriber, who is operating within the scope of their license to deliver services under this chapter. DHS 75.03(71)(71) “Prescription” means a drug or device ordered by a prescriber for treatment. DHS 75.03(72)(72) “Primary counselor” means a substance abuse counselor, mental health professional, or prescriber, who is assigned by the service to develop and implement a patient’s individualized treatment program and to evaluate the patient’s progress in treatment. DHS 75.03(73)(73) “Psychiatrist” means a person who is licensed under ch. 448, Stats., and board-certified or eligible for certification by the American board of psychiatry and neurology. DHS 75.03(74)(74) “Psychoeducation” means information provided in a didactic format in either a group or individual setting that relates to health and promotes recovery. DHS 75.03(75)(75) “Qualified treatment trainee” or “QTT” means either of the following: DHS 75.03(75)(a)(a) A graduate student who is enrolled in an accredited institution in psychology, counseling, marriage and family therapy, social work, nursing, or a closely related field. DHS 75.03(75)(b)(b) A person with a graduate degree from an accredited institution and course work in psychology, counseling, marriage and family therapy, social work, nursing, or a closely related field, who has not yet completed the applicable supervised practice requirements described under ch. MPSW 4, 12, or 16, or ch. Psy 2. DHS 75.03(76)(76) “Recovery coach” means an individual that works with and supports individuals receiving substance use services to assist with engagement in treatment services or recovery systems, or both. DHS 75.03(77)(77) “Referral” means the establishment of a link between a patient and another service by providing documentation of the patient’s needs and recommendations for treatment services to the other service. DHS 75.03(78)(78) “Registered nurse” means a person who is licensed as a registered nurse under ch. 441, Stats. DHS 75.03(79)(79) “Scope” or “scope of practice” means the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in accordance with the terms of their professional license or certification. DHS 75.03(80)(80) “Screening” means a process for determining the initial needs and presenting problems of a patient in order to determine what services are indicated and to facilitate linkage or referral to appropriate services. DHS 75.03(81)(81) “Service” means a structured delivery system for providing substance use prevention, intervention, or treatment services. DHS 75.03(83)(83) “Special population” means an identified group, based on demographic or other specific traits, of patients or prospective patients of a service whose needs require special consideration or attention related to admission practices or service delivery. DHS 75.03(84)(84) “Substance” means a psychoactive agent or chemical, including nicotine, which principally affects the central nervous system and alters mood or behavior. DHS 75.03(85)(85) “Substance abuse counselor,” or “counselor,” means any of the following: DHS 75.03(85)(d)(d) An individual who holds a physician, psychologist, clinical social worker, marriage and family therapist, or professional counselor license granted under ch. 448, 455, or 457, Stats., and practices within their scope. DHS 75.03(86)(86) “Substance use,” or “substance abuse,” means the use of any mood-altering substance in a manner that interferes with, or poses a risk of interfering with, an individual’s educational, vocational, health, behavioral, financial, legal, or social functioning. DHS 75.03(87)(87) “Substance use disorder” means a diagnosis of substance use disorder listed in the DSM. DHS 75.03(88)(88) “Substance use treatment” means the delivery of clinical services for the purpose of addressing a substance use disorder as defined in the DSM. DHS 75.03(89)(a)(a) “Telehealth” means the use of telecommunications technology by a certified provider to deliver services allowable under this chapter, s. DHS 107.02 (5), and ss. 49.45 (61) and 49.46 (2) (b) 21. to 23., Stats., including assessment, diagnosis, consultation, treatment, or transfer of medically relevant data in a functionally equivalent manner as that of an in-person contact. DHS 75.03(89)(b)(b) “Telehealth” may include real-time interactive audio-only communication. DHS 75.03(89)(c)(c) “Telehealth” does not include communication between a certified provider and a recipient that consists solely of an electronic mail, text, or facsimile transmission. DHS 75.03(90)(90) “Transfer” means the movement of a patient from one level of care to another, which either takes place at the same location or by physically moving the patient to a different site or service for the new level of care. DHS 75.03(91)(91) “Transitional-age youth” means youth between the ages of 16 to 24 that are establishing skills related to independence, independent living, vocational and educational development, and addressing the life-stage areas of independence, identity-formation, and autonomy. DHS 75.03(93)(93) “Trauma-informed” means an approach that recognizes the contribution of psychologically distressing events to an individual’s presenting symptoms and response to interventions, and the strong correlation between trauma and behavioral health disorders. This approach to care emphasizes environmental and personal safety, and trusting and collaborative provider-patient relationships. DHS 75.03(94)(94) “Treatment” means the planned provision of services that are responsive to a patient’s individual needs to assist the patient through the process of recovery. DHS 75.03(95)(95) “Treatment plan” means identified goals, objectives, and resources agreed upon by the patient and the service to be utilized in facilitation of the patient’s recovery. DHS 75.03(96)(96) “Treatment planning” means the process by which the service and the patient and, whenever possible, the patient’s family, consider the patient’s presenting problems to identify and prioritize problems needing resolution, establish goals, and decide on interventions and resources to be applied. DHS 75.03(98)(98) “Treatment services” means the interventions and resources applied by a service to address the needs and goals identified in a patient’s treatment plan. DHS 75.03(99)(99) “Unlicensed staff” means any mental health professional in training, a substance abuse counselor in training, a qualified treatment trainee, and any clinical staff of a service that are not fully and independently licensed. DHS 75.03(100)(100) “Variance” means the granting of an alternate means of meeting a requirement in this chapter. DHS 75.03(101)(101) “Waiver” means the granting of an exemption from a requirement of this chapter. DHS 75.03(102)(102) “Withdrawal” means the development of a psychological and physical syndrome caused by the abrupt cessation of or reduction in heavy and prolonged substance use. The symptoms include clinically significant distress or impairment in social, occupational, or other important areas of functioning and are not due to a general medical condition or better accounted for by another mental disorder. DHS 75.03(103)(103) “Withdrawal management” means a service, or component of a service, that provides care and interventions to address an individual’s physical or psychosocial needs related to acute intoxication or withdrawal. Withdrawal management includes intoxication monitoring, management of acute symptoms, interruption of habitual and compulsive use, and engagement in ongoing treatment services. DHS 75.03 HistoryHistory: CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22; correction in (10), (19), (50) (c), (56), (64), (75) (b), (85) (d) made under s. 35.17, Stats., and correction in numbering in (43), (51) (dm) made under s. 13.92 (4) (b) 1., Stats., Register October 2021 No. 790; CR 23-053: cr. (38m), renum. (89) to (89) (a) and am., cr. (89) (b), (c) Register September 2023 No. 813, eff. 10-1-23; correction in (89) (a) made under s. 35.17, Stats., Register September 2023 No. 813. DHS 75.04DHS 75.04 Application requirements. An application for initial certification shall be on a form provided by the department and shall be accompanied by all of the following: DHS 75.04(1)(1) Service policies and procedures required by this chapter. DHS 75.04(3)(3) Additional information needed for certification that is requested by the department.
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