DCF 52.42(5)(b)8.8. Physically enforced separation in a time-out room may not be used as a substitute for supervision of a resident who is at risk of running away.

DCF 52.42(6)(a)(a) For each incident where physical hold restraint or physically enforced separation of a resident was necessary, the staff person on duty shall document in an incident report the following:

DCF 52.42(6)(a)3.3. The date, time, and location of the incident and methods used to address the resident’s behavior, including duration of each emergency safety intervention episode.

DCF 52.42(6)(a)5.5. The name of each staff member involved in using the technique or approach with the resident at the time of the incident or when the incident was discovered.

DCF 52.42(6)(a)6.6. Injuries received by either the resident or a staff member in using physically enforced separation or physical hold restraint, how the injuries happened and any medical care provided.

DCF 52.42(6)(b)(b) In each building housing residents, center staff shall maintain a log of written reports of incidents involving residents. The report of an incident shall include at least the information under par. (a) 1. to 3.

DCF 52.42(6)(c)(c) Resident care staff at the beginning of each shift shall be informed of or review incident reports occurring since their last shift. A copy of each incident report concerning a resident shall be placed in the resident’s treatment record.

DCF 52.42(7)(a)(a) Conditions for use. No resident may be placed in a locked unit unless the center has first obtained department approval to operate a locked unit, the locked unit meets the requirements of this subsection and one of the following applies:

DCF 52.42(7)(a)2.2. Use of a locked unit is for purposes of ensuring physically enforced separation when intervening in an emergency safety situation involving the resident. Use of a locked unit to deal with an emergency safety situation may take place provided that the following conditions are met:

DCF 52.42(7)(a)2.a.a. Use is as a emergency safety intervention physically enforced separation under sub. (5).

DCF 52.42(7)(a)2.b.b. Use of a locked unit for emergency safety intervention physically enforced separation may not extend beyond one hour except with written authorization from a physician, a psychologist licensed under ch. 455, Stats., or an independent clinical social worker certified under s. 457.08 (4), Stats. After review of the resident’s condition, new written orders, where necessary, may be issued for up to 24 hours. The resident shall be released from the physically enforced separation as quickly as possible. In this subdivision paragraph, “as quickly as possible” means as soon as the resident is calm and no longer a danger to self or others.

DCF 52.42(7)(a)2.c.c. Use is followed by a review of the need for development of goals and objectives in the resident’s treatment plan to govern the use of locked unit physically enforced separation or to minimize or eliminate its need.

DCF 52.42(7)(a)3.3. Use of a locked unit is part of a behavior management and control program described in the resident’s treatment plan provided that the following conditions are met:

DCF 52.42(7)(a)3.a.a. The resident exhibits or recently has exhibited severely aggressive or destructive behaviors that place the resident or others in real or imminent danger and the lack of the locked unit prevents treatment staff from being able to treat the resident.

DCF 52.42(7)(a)3.b.b. A physician, a psychologist licensed under ch. 455, Stats., or an independent clinical social worker certified under s. 457.08 (4), Stats., who is knowledgeable about contemporary use of locked unit treatment intervention gives written approval included in the resident’s treatment record for its use.

DCF 52.42(7)(a)3.c.c. The goals, objectives and approaches in the resident’s treatment plan support its use. Goals and objectives shall be directed at reducing or eliminating the need for use of a locked unit.

DCF 52.42(7)(a)3.d.d. The parent or guardian and legal custodian of the resident if a minor, gives informed consent in writing to the use of a locked unit or the locked unit intervention is ordered by a court or other lawful authority.

DCF 52.42(7)(a)3.e.e. The resident has no known medical or mental health condition which would place the resident at risk of harm from being placed in a locked unit as evidenced by a statement from a physician.

DCF 52.42(7)(b)(b) Record. The center shall maintain a written record of the following information on locked unit use under par. (a) 3, in the resident’s treatment record:

DCF 52.42(7)(c)(c) Supervision. Appropriately trained staff shall directly supervise use of a locked unit. Appropriately trained staff are staff who have received the training under s. DCF 52.12 (5) (b) 4. and (c).