DHS 35.16(1)(d)(d) Diagnostic or behavioral requirements that the clinic will apply in deciding whether or not to admit a consumer for treatment.
DHS 35.16(1)(e)(e) Any consumer characteristics for which the clinic has been specifically designed, including the nature or severity of disorders that can be managed on an outpatient basis by the clinic, and the expected length of time that services may be necessary.
DHS 35.16(2)(2)A clinic shall refer any consumer not meeting the clinic’s selection criteria for admission to appropriate services.
DHS 35.16(3)(3)If a clinic establishes priorities for consumers to be served, a waiting list for consumers to be admitted, or a waiting list for consumers who have been admitted but resources to provide services to these consumers are not yet available, the priorities or the procedures for the operation of the waiting list shall be maintained in writing and applied fairly and uniformly.
DHS 35.16(4)(4)Only a licensed treatment professional, or a recognized psychotherapy practitioner, may diagnose a mental illness of a consumer on behalf of a clinic. The licensed treatment professional, or recognized psychotherapy practitioner shall document, in the consumer file, the recommendation for psychotherapy specifying the diagnosis; the date of the recommendation for psychotherapy; the length of time of the recommendation; the services that are expected to be needed; and the name and signature of the person issuing the recommendation for psychotherapy.
DHS 35.16(5)(5)If a clinic provides substance use services to a consumer, the clinic shall use a department approved placement criteria tool to determine if a consumer who has a co-occurring substance use disorder requires substance abuse treatment services. If the consumer is determined to need a level of substance use services that are above the level of substance use services that can be provided by the clinic, the consumer shall be referred to an appropriate department certified provider.
DHS 35.16 HistoryHistory: CR 06-080: cr. Register May 2009 No. 641, eff. 6-1-09; CR 14-066: renum. (4) (a) to (4), r. (4) (b) Register August 2015 No. 716, eff. 9-1-15.
DHS 35.165DHS 35.165Emergency services.
DHS 35.165(1)(1)The clinic shall have and implement a written policy on how the clinic will provide or arrange for the provision of services to address a consumer’s mental health emergency or crisis during hours when its offices are closed, or when staff members are not available to provide outpatient mental health services.
DHS 35.165 NoteNote: The phrase “available to provide outpatient mental health services” is defined under s. DHS 35.03 (2).
DHS 35.165(2)(2)The clinic shall include, in its written policies, the procedures for identifying risk of attempted suicide or risk of harm to self or others.
DHS 35.165 HistoryHistory: CR 06-080: cr. Register May 2009 No. 641, eff. 6-1-09.
DHS 35.17DHS 35.17Assessment.
DHS 35.17(1)(1)
DHS 35.17(1)(a)(a) A mental health professional, shall complete an initial assessment of a consumer before a second meeting with a staff member. The information collected during the initial assessment shall be sufficient to identify the consumer’s need for outpatient mental health services.
DHS 35.17(1)(b)(b) A comprehensive assessment shall be valid, accurately reflect the consumer’s current needs, strengths and functioning, be completed before beginning treatment under the treatment plan established under s. DHS 35.19 (1), and include all of the following:
DHS 35.17(1)(b)1.1. The consumer’s presenting problems.
DHS 35.17(1)(b)2.2. A diagnosis, which shall be established from the current Diagnostic and Statistical Manual of Mental Disorders, or for children up to age 4, the current Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood.
DHS 35.17 NoteNote: The Diagnostic and Statistical Manual of Mental Disorders is published by the American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. Washington, DC, American Psychiatric Association, 2013. The Diagnostic and Statistical Manual of Mental Disorders may be ordered through http://www.appi.org/Pages/DSM.aspx or other sources. Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood is published by the National Center for Clinical Infant Programs: Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood. Arlington, VA, National Center for Clinical Infant Programs, 1994. The Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood may be ordered https://secure2.convio.net/zttcfn/site/Ecommerce?VIEW_PRODUCT=true&product_id=1681&store_id=1121 or other sources.
DHS 35.17(1)(b)3.3. The recipient’s symptoms which support the given diagnosis.
DHS 35.17(1)(b)4.4. Information on the consumer’s strengths, and current and past psychological, social, and physiological data; information related to school or vocational, medical, and cognitive functioning; past and present trauma; and substance abuse.
DHS 35.17(1)(b)5.5. The consumer’s unique perspective and own words about how the consumer views his or her recovery, experience, challenges, strengths, needs, recovery goals, priorities, preferences, values and lifestyle, areas of functional impairment, and family and community support.
DHS 35.17 NoteNote: Nothing in this chapter is intended to interfere with the right of providers under s. 51.61 (6), Stats., to use customary and usual treatment techniques and procedures in a reasonable and appropriate manner in the treatment of patients who are receiving services under the mental health system, for the purpose of ameliorating the conditions for which the patients were admitted to the system.
DHS 35.17(2)(2)If a consumer is determined to have one or more co-occurring disorders, a licensed treatment professional, mental health practitioner, or a recognized psychotherapy practitioner, shall document the treatments and services concurrently received by the consumer through other providers; whether the clinic can serve the consumer’s needs using qualified staff members or in collaboration with other providers; and any recommendations for additional services, if needed. If a clinic cannot serve a consumer’s needs, independently, or in collaboration with other providers, the clinic shall refer the consumer, with the consumer’s consent, to an appropriate provider.
DHS 35.17 HistoryHistory: CR 06-080: cr. Register May 2009 No. 641, eff. 6-1-09.
DHS 35.18DHS 35.18Consent for outpatient mental health services.
DHS 35.18(1)(1)If a clinic determines that a consumer is appropriate for receiving outpatient mental health services through the clinic, the clinic shall inform the consumer or the consumer’s legal representative of the results of the assessment. In addition, the clinic shall inform the consumer or the consumer’s legal representative, orally and in writing, of all of the following:
DHS 35.18(1)(b)(b) Treatment alternatives.
DHS 35.18(1)(c)(c) Possible outcomes and side effects of treatment recommended in the treatment plan.