DHS 40.07(2)(c)5.5. Use technological resources to encourage participation when in-person meetings are not possible, consistent with requirements to ensure confidentiality of treatment information. DHS 40.07(3)(3) General requirements. In addition to services that are necessary to achieve the treatment objectives identified in each youth’s assessment and individual treatment plan, all of the following minimum requirements services shall be provided: DHS 40.07(3)(a)(a) Community-based program. A community-based program shall offer all of the following: DHS 40.07(3)(a)1.1. Individual, group and family psychotherapy provided by trained mental health professionals. DHS 40.07(3)(a)2.2. A structured therapeutic milieu supervised by a clinical coordinator. DHS 40.07(3)(a)6.6. Implementation of transition services designed to support the reintegration of a youth who is completing the program into family, community and school activities and to prevent recurrence of the problems which led to the original placement in the program. DHS 40.07(3)(b)(b) Intensive hospital-based programs. An intensive hospital-based program shall offer minimum required services under par. (a) and shall increase the hours of direct clinical services under s. DHS 40.10 (3) (b) and increase the hours of operation under s. DHS 40.10 (4) (b) to meet the needs of youth who have severe symptomology and need closer supervision. DHS 40.07(4)(4) Support services. Each program shall provide support services that include all of the following: DHS 40.07(4)(a)(a) Methods for documenting, measuring, and tracking progress on measurable objectives contained in a youth’s treatment plan. DHS 40.07(4)(b)1.1. Reducing or eliminating the use of emergency safety interventions. DHS 40.07(4)(b)2.2. Teaching and increasing positive replacement behaviors, based on baseline measures at intake. DHS 40.07(4)(b)3.3. Building relationships between youth and staff members that promote trust and safety. DHS 40.07(4)(b)4.4. Empowering youth to take responsibility for their behavior and regulating their emotions. DHS 40.07(4)(b)5.5. Sensory interventions within the treatment milieu to enhance functioning and assist with behavioral challenges. DHS 40.07(5)(5) Voluntary time out. Support services shall be provided to a youth prior to using a voluntary time out. Voluntary time out should be used as a least restrictive measure, prior to involuntary seclusion or physical restraint, unless there is imminent danger due to a youth’s aggression to self or others. Voluntary time out shall be encouraged for the shortest time possible and only for the length of time necessary for the youth to de-escalate or regulate his or her emotions. Programs shall encourage voluntary time out for youth who show signs of agitation or anxiety. DHS 40.07 HistoryHistory: CR 19-018: cr. Register June 2020 No. 774, eff. 7-1-20; correction in (1) (g) made under s. 35.17, Stats., Register June 2020 No. 774; CR 23-053: cr. (1) (fm) Register September 2023 No. 813, eff. 10-1-23; CR 23-046: am. (2) (a) 2. Register April 2024 No. 820, eff. 5-1-24. DHS 40.08DHS 40.08 Emergency safety interventions. DHS 40.08(1)(1) Prohibited interventions. Mechanical restraints, with the exception of procedures in sub. (5) (e) and chemical restraints are prohibited. DHS 40.08(2)(2) General requirements for seclusion and physical restraint. Seclusion and physical restraint shall comply with the requirements under s. 51.61 (1) (i), Stats., s. DHS 94.10, and this chapter. DHS 40.08(3)(3) Staff requirements. Seclusion and physical restraint shall only be administered by program staff members who have completed orientation described in s. DHS 40.10 (6) (b). DHS 40.08(4)(4) Administration requirements. Seclusion and physical restraint may only be administered when all of the following requirements are met in addition to the requirements under s. 51.61 (1) (i), Stats., and s. DHS 94.10: DHS 40.08(4)(a)(a) When all other less restrictive methods have been exhausted. DHS 40.08(4)(b)(b) For the shortest time possible and only until the youth is no longer a danger to self or others. DHS 40.08(4)(c)(c) In a manner that is attentive to, and respectful of the trauma history, dignity, and civil rights of the youth. DHS 40.08(4)(d)(d) To avoid or cause the least possible physical or emotional discomfort, harm, and pain to the youth.