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(1) Risk of serious harm. The facility shall do all of the following:
(a) Obtain documented information from a transporting agency’s observation pertaining to a youth’s mental health and potential for suicide or self-harm.
(b) Determine whether the youth has ever considered or engaged in self-harm or attempted suicide.
(c) Require staff to immediately notify qualified medical and mental health professionals of all incidents of self-harm or attempted self-harm. The notification and incident shall be documented.
(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.
(2) Suicide or self-harm watch. The facility shall do all of the following:
(a) Identify designated supervisory staff to be notified if a youth is determined to be a suicide or self-harm risk.
(b) Designate areas within the facility and provide security precautions for youth who are placed on suicide or self-harm watch.
(c) Establish monitoring procedures for youth on suicide or self-harm watch, including frequency and documentation of wellness checks under s. DOC 347.48.
(3) Youth supervision. The facility shall do all of the following:
(a) Identify staff who may initiate a suicide or self-harm watch.
(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.
(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.
(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.
(e) Establish an intervention protocol during an apparent suicide or self-harm attempt, including life-sustaining measures.
(f) Notify the youth’s parent or legal guardian any time a youth is placed on suicide or self-harm watch.
(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.
(h) Identify persons to be notified in case of attempted or completed suicides or self-harm.
(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:
(a) Individual initiating the suicide or self-harm watch.
(b) Date and time watch was initiated.
(c) Reason watch was initiated.
(d) Date, time, and name of supervisor contacted.
(e) Date and time of referral to a qualified mental health professional.
(f) Written documentation from the qualified mental health professional removing a youth from a suicide or self-harm watch including name, date, and time.
(g) Date and time of notification to youth’s parent or legal guardian under sub. (3) (f).
(h) Date and time of notification to youth’s case worker in the county or tribe of supervision under sub. (3) (g).
(5) Support services. The facility shall provide access to debriefing and support services for youth and staff following a suicide or self-harm incident.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
DOC 347.27 Dental health care.
(1) A dental screening shall be performed by a licensed dentist or a qualified healthcare professional within 7 days of admission.
(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.
(3) The facility shall provide access to emergency dental care and transportation to those services, as needed.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
DOC 347.28 Medications.
(1) The facility shall comply with state and federal law regarding procuring, prescribing, dispensing, delivering, administering, and disposing of prescription and nonprescription medications.
(2) All medications brought into the facility shall be verified, inventoried, and maintained in a designated secure storage area.
(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.
(4) Staff shall administer or deliver medications under circumstances that protect the youth’s confidentiality.
(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.
(6) All refusals of recommended or prescribed medications by a youth shall be documented.
(7) The facility shall inventory and return or dispose of unused medications upon the youth’s release or transfer.
(8) All medication errors shall be documented.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
DOC 347.29 Medical records.
(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.
(2) Records shall be securely maintained and accessible only by designated staff.
(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.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
Subchapter VII — Resources for Youth
DOC 347.30 Clothing, towels, and bedding.
(1) Clothing.
(a) If youth are not permitted to wear personal clothing, all of the following shall be provided upon admission:
1. A set of clean clothing.
2. Clean socks and undergarments.
3. Clean footwear.
(b) All clothing provided shall be of appropriate size for the youth.
(c) All clothing provided shall be appropriate to the season.
(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.
(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.
(2) Towels and bedding.
(a) Staff shall provide each youth with a clean towel and washcloth daily.
(b) Staff shall provide youth with clean bed linens at least once per week.
(c) Staff shall provide youth with a clean blanket at least once per month.
(3) Mattresses and pillows.
(a) Staff shall provide youth with a clean mattress and pillow.
(b) Each mattress and each pillow shall be covered with a fire retardant, waterproof, easy-to-sanitize material.
(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.
(d) Mattresses and pillows shall be cleaned and sanitized before reissue.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
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.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
DOC 347.32 Mail.
(1) The facility shall not limit the amount of correspondence sent and received by youth.
(2) The facility shall deliver incoming mail to youth on the same day that it is received at the facility.
(3) Outgoing youth mail shall be posted daily excluding weekends and holidays.
(4) Appropriate writing materials shall be provided to youth upon request.
(5) Postage for a minimum of 2 non-privileged letters a week shall be provided for each youth.
(6) Postage for privileged mail may not be limited.
(7) The facility shall establish parameters for inspecting privileged and non-privileged mail.
(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.
(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.
History: CR 20-030: cr. Register October 2021 No. 790, eff. 11-1-21.
DOC 347.33 Communication.
(1) Upon admission, youth shall be given an opportunity as soon as possible to communicate with social supporters.
(2) Youth shall have the opportunity to communicate with approved individuals external to the facility no less than once per day.
(3) The facility may not charge youth to communicate.
(4) The facility shall make accommodations for youth with hearing or speech disabilities or limited English proficiency.
(5) The facility shall inform youth if external communication is withheld or monitored.
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Published under s. 35.93, Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the chapter was last published.