DHS 35.14(1)(b)2. 2. Identification of clinical issues, including incidents that pose a significant risk of an adverse outcome for one or more consumers of the outpatient mental health clinic that should warrant clinical collaboration, or clinical supervision that is in addition to the supervision specified under ch. MPSW 4, 12, or 16, or Psy 2, or for a recognized psychotherapy practitioner, in accordance with s. DHS 35.03 (5) (a), whichever is applicable.

DHS 35.14(2) (2) Except as provided under sub. (4) (b), the clinic’s policy on clinical supervision shall be in accordance with ch. MPSW 4, 12, or 16, or Psy 2, or for a recognized psychotherapy practitioner, whichever is applicable. The clinic’s policy on clinical collaboration shall require one or more of the following:

DHS 35.14(2)(a) (a) Individual sessions, with staff case review, to assess performance and provide feedback.

DHS 35.14(2)(b) (b) Individual side-by-side session while a staff member provides assessments, service planning meetings or outpatient mental health services and in which other staff member assesses, and gives advice regarding staff performance.

DHS 35.14(2)(c) (c) Group meetings to review and assess quality of services and provide staff members advice or direction regarding specific situations or strategies.

DHS 35.14(2)(d) (d) Any other form of professionally recognized method of clinical collaboration designed to provide sufficient guidance to assure the delivery of effective services to consumers by the staff member.

DHS 35.14(3) (3) Clinical supervision and clinical collaboration records shall be dated and documented with the signature of the person providing these functions in a supervision or collaboration record, or in the staff record of each staff member who attends the session or review. If clinical supervision or clinical collaboration results in a recommendation for a change to a consumer’s treatment plan, the recommendation shall be documented in the consumer file.

DHS 35.14(4) (4) 

DHS 35.14(4)(a) (a) A qualified treatment trainee who provides psychotherapy shall receive clinical supervision.

DHS 35.14(4)(b) (b) If any staff member, including a staff member who is a substance abuse counselor-in training, substance abuse counselor, or clinical abuse counselor, provides services to consumers who have a primary diagnosis of substance abuse, the staff member shall receive clinical supervision from a clinical supervisor as defined under s. SPS 160.02 (7).

DHS 35.14 History History: CR 06-080: cr. Register May 2009 No. 641, eff. 6-1-09; correction in (4) (b) made under s. 13.92 (4) (b) 7., Stats., Register November 2011 No. 671.

DHS 35.15 DHS 35.15 Orientation and training.

DHS 35.15(1) (1) General requirement. The clinic administrator shall ensure each staff member receives initial and continuing training that enables the staff member to perform staff member’s duties effectively, efficiently, and competently. Documentation of training shall be made available to department staff upon request.

DHS 35.15(2) (2) Orientation.

DHS 35.15(2)(a) (a) The clinic shall maintain documentation that each staff member who is a mental health professional and who is new to the clinic has completed the training requirements specified under par. (b), either as part of orientation to the clinic or as part of prior education or training. The clinic administrator shall require all other staff members to complete only the orientation training requirements specified under par. (b) that are necessary, as determined by the clinic administrator, for the staff member to successfully perform the staff member’s assigned job responsibilities.

DHS 35.15(2)(b) (b) The orientation training requirements under this subsection are:

DHS 35.15(2)(b)1. 1. A review of the pertinent parts of this chapter and other applicable statutes and regulations.

DHS 35.15(2)(b)2. 2. A review of the clinic’s policies and procedures.

DHS 35.15(2)(b)3. 3. Cultural factors that need to be taken into consideration in providing outpatient mental health services for the clinic’s consumers.

DHS 35.15(2)(b)4. 4. The signs and symptoms of substance use disorders and reactions to psychotropic drugs most relevant to the treatment of mental illness and mental disorders served by the clinic.

DHS 35.15(2)(b)5. 5. Techniques for assessing and responding to the needs of consumers who appear to have problems related to trauma; abuse of alcohol, drug abuse or addiction; and other co-occurring illnesses and disabilities.

DHS 35.15(2)(b)6. 6. How to assess a consumer to detect suicidal tendencies and to manage persons at risk of attempting suicide or causing harm to self or others.

DHS 35.15(2)(b)7. 7. Recovery concepts and principles that ensure services, and supports connection to others and to the community.

DHS 35.15(2)(b)7m. 7m. Appropriate delivery of telehealth services, including issues ensuring privacy and confidentiality of recipient information and communications.

DHS 35.15(2)(b)8. 8. Any other subject that the clinic determines is necessary to enable the staff member to perform the staff member’s duties effectively, efficiently, and competently.

DHS 35.15(3) (3) Maintaining orientation and training policies. A clinic shall maintain in its central administrative records the most current copy of its orientation and training policies.

DHS 35.15 History History: CR 06-080: cr. Register May 2009 No. 641, eff. 6-1-09; CR 23-053: am. (2) (b) 7m. Register September 2023 No. 813, eff. 10-1-23.

subch. IV of ch. DHS 35 Subchapter IV — Outpatient Mental Health Services

DHS 35.16 DHS 35.16 Admission.