DHS 40.03(40)(40) “Program” means a community-based program or a hospital-based program. DHS 40.03(41)(41) “Psychotherapy” has the meaning given in s. 457.01 (8m), Stats., for marriage and family therapy, professional counseling, and social workers or s. 455.01 (6), Stats for psychologists. DHS 40.03(42)(42) “Psychotropic medication” means a prescription drug, as defined in s. 450.01 (20), Stats., that is prescribed by a prescriber to treat or manage mental illness. DHS 40.03(43)(43) “Qualified treatment trainee” means either of the following: DHS 40.03(43)(a)(a) A graduate student who is enrolled in an accredited institution in psychology, counseling, marriage and family therapy, social work, nursing or a closely related field and is doing a supervised practicum for their graduate degree program. DHS 40.03(43)(b)(b) A person who has been awarded a graduate degree by an accredited institution and has completed coursework in psychology, counseling, marriage and family therapy, social work, nursing or a closely related field who has not yet completed the applicable supervised practice requirements described under s. MPSW 4.01, 12.01, or 16.04, or s. Psy 2.10. DHS 40.03(44)(44) “Recognized psychotherapy practitioner” means an individual who may lawfully practice psychotherapy within the scope of a license, permit, registration or certificate granted by this state, other than under ch. 455 or 457, Stats. DHS 40.03(45)(45) “Registered nurse” means a person licensed under s. 441.06, Stats. as a registered nurse. DHS 40.03(46)(46) “Seclusion” means the involuntary confinement and isolation in a room or area from which the youth is prevented from leaving. DHS 40.03(47)(47) “Sensory interventions” means a treatment or therapy that makes use of, or aims to improve, sensitivity to one or more of the senses. DHS 40.03(48)(48) “Service” means a crisis response service, a mental health day treatment service, a support service, transition service, trauma-informed service, or minimum required service under s. DHS 40.07 (4). DHS 40.03(49)(49) “Severe emotional disturbance” means an emotional or behavioral problem for a youth that currently meets, or at any time during the past year met, criteria for a mental disorder specified within a recognized diagnostic classification, and that produces a functional impairment which substantially interferes with or limits functioning in family, school, employment, relationships, or community activities. DHS 40.03(50)(50) “Staff member” means a person employed or contracted through the program who provides treatment services to a youth or legal representative. DHS 40.03(51)(51) “Support service” means individualized advice, guidance, or assistance with planning, designed to facilitate positive alternatives to challenging behaviors, and to assist a youth with developing adaptive and functional restoration. “Support service” does not include psychotherapy or time spent in educational services, meals, or recreation. DHS 40.03(51m)(a)(a) “Telehealth” means the use of telecommunications technology by a certified provider to deliver services allowable under this chapter, s. DHS 107.02 (5), and ss. 49.45 (61) and 49.46 (2) (b) 21. to 23., Stats., including assessment, diagnosis, consultation, treatment, or transfer of medically relevant data in a functionally equivalent manner as that of an in-person contact. DHS 40.03(51m)(b)(b) “Telehealth” may include real-time interactive audio-only communication. DHS 40.03(51m)(c)(c) “Telehealth” does not include communication between a certified provider and a recipient that consists solely of an electronic mail, text, or facsimile transmission. DHS 40.03(52)(52) “Therapeutic milieu” means the combination of physical and interpersonal environments established and maintained in the mental health day treatment program to provide safety, trust, and consistency of care, and to model, teach, and reinforce positive and supportive behaviors and interactions among youth and staff. DHS 40.03(53)(53) “Therapeutic specialists” means experiential therapists, art therapists, and music therapists who have complied with the appropriate certification procedures for their profession as required by state statute or administrative rule or the governing body regulating their profession. DHS 40.03(54)(54) “Transition services” means services provided to a youth to ensure continuity of care and management of the youth’s needs to ensure gradual reintegration back into school and the community as appropriate. DHS 40.03(56)(56) “Trauma” means significant distress or impairment in a person’s social, coping, or other important areas of functioning, resulting from experiences or events. DHS 40.03(57)(57) “Trauma-informed service” means a service that is attentive to the role that trauma plays in the lives of youth and family members, including recognition of the traumatic effect of misdiagnosis, coercive treatment, and inadvertent re-traumatization. DHS 40.03(58)(58) “Variance” means a modification to a requirement of this chapter. DHS 40.03(59)(59) “Voluntary time out” means an intervention intended to accomplish any of the following: DHS 40.03(59)(a)(a) Encourage youth to voluntarily use a calming or safe place that does not physically confine the youth, and that permits program staff members to visually monitor the youth when they are experiencing agitation or anxiety. DHS 40.03(59)(b)(b) Protect a client from another client who is posing a risk of harm or serious disruption.