DCF 52.57(3)(c)(c) Type 2 temporary replacement into a different type 2 center. Type 2 replacement into a type 2 residential care center that is not the type 2 residential care center in which the resident was originally placed shall meet the requirements under sub. (2) as though the type 2 resident was a first time type 2 admission. The rule section exceptions under par. (a) do not apply under this paragraph.
DCF 52.57(4)(4)Type 2 readmissions.
DCF 52.57(4)(a)(a) Readmission within 6 months. A type 2 residential care center shall comply with the provisions for short-term programs under s. DCF 52.58 for a type 2 readmission of a youth to the same residential care center from which the youth was discharged within the previous 6 months.
DCF 52.57(4)(b)(b) Readmission 6 months or more after being discharged or readmission to a different type 2 center. A type 2 residential care center shall comply with sub. (2) when a type 2 readmission to the same residential care center occurs 6 months or more after the youth was discharged or when the youth is readmitted to a different type 2 residential care center.
DCF 52.57 HistoryHistory: Cr. Register, February, 2000, No. 530, eff. 9-1-00; corrections in (3) (a) and (4) (a) made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635.
DCF 52.58DCF 52.58Exceptions and additional requirements for short-term programs.
DCF 52.58(1)(1)Applicability.
DCF 52.58(1)(a)(a) A residential care center for children and youth may operate a short-term treatment program with approval of the department. This section applies to the operation of short-term treatment programs. A short-term treatment program shall comply with all provisions of this chapter except as provided in this section.
DCF 52.58(1)(b)(b) The requirements of this section apply to short-term resident readmissions except that the assessment and treatment care plan for the resident under sub. (5) needs only be updated to reflect the resident’s current treatment and care needs.
DCF 52.58(2)(2)Definitions. In this section:
DCF 52.58(2)(a)(a) “Short-term resident admission” means a short-term resident whose stay at the center is expected to be 90 days or less or whose return to the center for another short-term stay readmission occurs 90 days or more from the resident’s discharge from that center or who is placed into a different center for short-term care readmission.
DCF 52.58(2)(b)(b) “Short-term resident readmission” means a short-term resident whose readmission to the center for another short-term stay occurs less than 90 days after a previous discharge from that center and whose stay at the center may be of varying periodic episodes within a 90-day period.
DCF 52.58(2)(c)(c) “Short-term treatment program” means a program of temporary residential care and treatment service delivery to a resident whose placement is transitional for purposes of assessment, treatment, and planning for placement back into the community. “Short-term treatment program” does not include a respite care service program under s. DCF 52.59 or a crisis stabilization program certified under ch. DHS 34.
DCF 52.58(3)(3)Program statement. In place of the requirements for a program statement and operating plan under s. DCF 52.41 (1) (intro.), (a) and (b), a center that operates a short-term treatment program shall have a treatment program statement that includes all of the following:
DCF 52.58(3)(a)(a) A narrative covering treatment purpose, philosophy, approach and methods for short-term transitional placement into the community.
DCF 52.58(3)(b)(b) Identification of short-term treatment program professional service providers and consultants involved in short-term transitional placement efforts that are center or community based.
DCF 52.58(3)(c)(c) Identification of any coordinating service and placement agencies.
DCF 52.58(3)(d)(d) A description of the extent to which the center’s short-term program is compatible with or will operate separately, including in residential living arrangements, from the center’s non-short-term residential program. If it will be operated separately, identification of the building or area in which the short-term program will be operated.
DCF 52.58(3)(e)(e) A description of arrangements for continuing education of short-term residents.
DCF 52.58(3)(f)(f) A description of health care arrangements for short-term residents, including the process for securing medical authorizations for general and emergency medical care including surgery.
DCF 52.58(3)(g)(g) A description of recreational activities and programming available for short-term residents.
DCF 52.58(4)(4)Admissions. A center operating a short-term treatment program shall meet the provisions of s. DCF 52.21, except s. DCF 52.21 (5) (a) and (8) (a), and all of the following:
DCF 52.58(4)(a)(a) Obtaining authorizations. For a short-term resident, the center as part of written admissions procedures shall obtain authorization from the parent or guardian of a resident for the center to do all of the following:
DCF 52.58(4)(a)1.1. Provide or arrange for routine medical services and procedures, including dental services and non-prescription and prescription medications.
DCF 52.58(4)(a)2.2. Obtain from a health care authority the authority to delegate and supervise administration of medications by center-authorized staff and for staff to handle and provide the medication to the resident and observe self-administration of the medication by the resident.
DCF 52.58(4)(a)3.3. Obtain other medical information as needed on the resident.
DCF 52.58(4)(a)4.4. Obtain written authorization to provide or order, when necessary, emergency medical procedures including surgery, when there is a life-threatening situation and it is not possible to immediately reach the parent or guardian authorized to give signed written specific informed consent.
DCF 52.58(4)(b)(b) Health screening. Upon admission of a short-term resident, center staff shall do both of the following:
DCF 52.58(4)(b)1.1. Observe the resident for evidence of ill health. A staff person capable of recognizing common signs of communicable diseases or other evidence of ill health shall make this observation. The new resident’s temperature shall also be taken and evaluated. If the new resident shows overt signs of communicable disease or other evidence of ill health, the center shall make arrangements for immediate examination by a health care practitioner.