Chapter DOC 347

DOC 347.26(1)(d) (d) Require staff to immediately notify qualified medical and mental health professionals of youth who have communicated having ideation, plan, or intent to engage in self-harm or suicide. The notification and incident shall be documented.

DOC 347.26(2) (2) Suicide or self-harm watch. The facility shall do all of the following:

DOC 347.26(2)(a) (a) Identify designated supervisory staff to be notified if a youth is determined to be a suicide or self-harm risk.

DOC 347.26(2)(b) (b) Designate areas within the facility and provide security precautions for youth who are placed on suicide or self-harm watch.

DOC 347.26(2)(c) (c) Establish monitoring procedures for youth on suicide or self-harm watch, including frequency and documentation of wellness checks under s. DOC 347.48.

DOC 347.26(3) (3) Youth supervision. The facility shall do all of the following:

DOC 347.26(3)(a) (a) Identify staff who may initiate a suicide or self-harm watch.

DOC 347.26(3)(b) (b) Require notification to qualified mental health professionals when the youth is placed on suicide or self-harm watch. Assessment by a qualified mental health professional shall be completed as soon as practicable.

DOC 347.26(3)(c) (c) Identify qualified mental health professionals who are authorized to remove a youth from a suicide or self-harm watch status after an in-person assessment.

DOC 347.26(3)(d) (d) Establish requirements for the frequency of communication between health care and facility staff regarding the status of a youth who is on suicide or self-harm watch.

DOC 347.26(3)(e) (e) Establish an intervention protocol during an apparent suicide or self-harm attempt, including life-sustaining measures.

DOC 347.26(3)(f) (f) Notify the youth’s parent or legal guardian any time a youth is placed on suicide or self-harm watch.

DOC 347.26(3)(g) (g) Notify the youth’s case worker in the county or tribe of supervision any time a youth is placed on suicide or self-harm watch.

DOC 347.26(3)(h) (h) Identify persons to be notified in case of attempted or completed suicides or self-harm.

DOC 347.26(4) (4) Documentation. The facility shall document actions taken and decisions made regarding youth who are at risk of attempting suicide or self-harm, including all of the following:

DOC 347.26(4)(a) (a) Individual initiating the suicide or self-harm watch.

DOC 347.26(4)(b) (b) Date and time watch was initiated.

DOC 347.26(4)(c) (c) Reason watch was initiated.

DOC 347.26(4)(d) (d) Date, time, and name of supervisor contacted.

DOC 347.26(4)(e) (e) Date and time of referral to a qualified mental health professional.

DOC 347.26(4)(f) (f) Written documentation from the qualified mental health professional removing a youth from a suicide or self-harm watch including name, date, and time.

DOC 347.26(4)(g) (g) Date and time of notification to youth’s parent or legal guardian under sub. (3) (f).

DOC 347.26(4)(h) (h) Date and time of notification to youth’s case worker in the county or tribe of supervision under sub. (3) (g).

DOC 347.26(5) (5) Support services. The facility shall provide access to debriefing and support services for youth and staff following a suicide or self-harm incident.

DOC 347.26 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.27 DOC 347.27 Dental health care.

DOC 347.27(1) (1) A dental screening shall be performed by a licensed dentist or a qualified healthcare professional within 7 days of admission.

DOC 347.27(2) (2) An oral examination shall be performed by a licensed dentist within 60 days of admission and every 6 months thereafter, unless the facility obtains information that the youth received a dental examination within the previous 6 months.

DOC 347.27(3) (3) The facility shall provide access to emergency dental care and transportation to those services, as needed.

DOC 347.27 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.28 DOC 347.28 Medications.

DOC 347.28(1) (1) The facility shall comply with state and federal law regarding procuring, prescribing, dispensing, delivering, administering, and disposing of prescription and nonprescription medications.

DOC 347.28(2) (2) All medications brought into the facility shall be verified, inventoried, and maintained in a designated secure storage area.

DOC 347.28(3) (3) Designated trained staff may administer or deliver prescribed doses of medication at prescribed times. Annual documented training shall be provided to facility staff that deliver medications.

DOC 347.28(4) (4) Staff shall administer or deliver medications under circumstances that protect the youth’s confidentiality.

DOC 347.28(5) (5) Prescription and nonprescription medication administered or delivered to a youth shall be documented, including who prescribed the medication, who administered or delivered the medication, and the date and time of administration or delivery.

DOC 347.28(6) (6) All refusals of recommended or prescribed medications by a youth shall be documented.

DOC 347.28(7) (7) The facility shall inventory and return or dispose of unused medications upon the youth’s release or transfer.

DOC 347.28(8) (8) All medication errors shall be documented.

DOC 347.28 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.29 DOC 347.29 Medical records.

DOC 347.29(1) (1) Youth medical records shall be kept separate from other records, including custodial records, and shall be maintained in a confidential manner in accordance with ss. 146.81 to 146.83, Stats., and all other applicable state and federal laws.

DOC 347.29(2) (2) Records shall be securely maintained and accessible only by designated staff.

DOC 347.29(3) (3) No person except those authorized under s. 51.30 or 146.82, Stats., or other applicable state and federal laws, may have access to information in the records or be permitted to inspect the records.

DOC 347.29 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

subch. VII of ch. DOC 347 Subchapter VII — Resources for Youth

DOC 347.30 DOC 347.30 Clothing, towels, and bedding.

DOC 347.30(1) (1) Clothing.

DOC 347.30(1)(a) (a) If youth are not permitted to wear personal clothing, all of the following shall be provided upon admission:

DOC 347.30(1)(a)1. 1. A set of clean clothing.

DOC 347.30(1)(a)2. 2. Clean socks and undergarments.

DOC 347.30(1)(a)3. 3. Clean footwear.

DOC 347.30(1)(b) (b) All clothing provided shall be of appropriate size for the youth.

DOC 347.30(1)(c) (c) All clothing provided shall be appropriate to the season.

DOC 347.30(1)(d) (d) Clothing shall be laundered at a minimum of 2 times per week, and on a more frequent basis as required by the nature of work assignments and programmed activities.

DOC 347.30(1)(e) (e) Undergarments and socks shall be laundered as necessary to provide clean undergarments and socks daily. Youth shall receive the same set of undergarments and socks back after laundering.

DOC 347.30(2) (2) Towels and bedding.

DOC 347.30(2)(a) (a) Staff shall provide each youth with a clean towel and washcloth daily.

DOC 347.30(2)(b) (b) Staff shall provide youth with clean bed linens at least once per week.

DOC 347.30(2)(c) (c) Staff shall provide youth with a clean blanket at least once per month.

DOC 347.30(3) (3) Mattresses and pillows.

DOC 347.30(3)(a) (a) Staff shall provide youth with a clean mattress and pillow.

DOC 347.30(3)(b) (b) Each mattress and each pillow shall be covered with a fire retardant, waterproof, easy-to-sanitize material.

DOC 347.30(3)(c) (c) Mattresses and pillows shall be kept in good repair and in a clean and sanitary condition. Staff shall repair or remove from circulation any mattresses with holes or cracks.

DOC 347.30(3)(d) (d) Mattresses and pillows shall be cleaned and sanitized before reissue.

DOC 347.30 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.31 DOC 347.31 Commissary services. If a facility provides commissary, vending, or other similar services for youth, the facility shall develop policies and procedures relating to these services.

DOC 347.31 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.32 DOC 347.32 Mail.

DOC 347.32(1) (1) The facility shall not limit the amount of correspondence sent and received by youth.

DOC 347.32(2) (2) The facility shall deliver incoming mail to youth on the same day that it is received at the facility.

DOC 347.32(3) (3) Outgoing youth mail shall be posted daily excluding weekends and holidays.

DOC 347.32(4) (4) Appropriate writing materials shall be provided to youth upon request.

DOC 347.32(5) (5) Postage for a minimum of 2 non-privileged letters a week shall be provided for each youth.

DOC 347.32(6) (6) Postage for privileged mail may not be limited.

DOC 347.32(7) (7) The facility shall establish parameters for inspecting privileged and non-privileged mail.

DOC 347.32(8) (8) If mail is withheld, staff shall inform the youth and send a written notice to the sender explaining the reason for withholding. Staff shall log the date, time, reason, and disposition of the mail, including any money or items of personal property; save the mail; and inform the youth.

DOC 347.32(9) (9) Mail addressed to a released youth shall be forwarded unopened to the youth or returned to the sender or post office if no forwarding address is available.

DOC 347.32 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.33 DOC 347.33 Communication.

DOC 347.33(1) (1) Upon admission, youth shall be given an opportunity as soon as possible to communicate with social supporters.

DOC 347.33(2) (2) Youth shall have the opportunity to communicate with approved individuals external to the facility no less than once per day.

DOC 347.33(3) (3) The facility may not charge youth to communicate.

DOC 347.33(4) (4) The facility shall make accommodations for youth with hearing or speech disabilities or limited English proficiency.

DOC 347.33(5) (5) The facility shall inform youth if external communication is withheld or monitored.

DOC 347.33(6) (6) The facility may not monitor conversations between youth and their attorneys.

DOC 347.33(7) (7) Youth may speak with social supporters in their language of choice regardless of staff comprehension.

DOC 347.33 History History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.

DOC 347.34 DOC 347.34 Visitation.