DCF 52.42(1)(c) (c) “Locked unit” means a ward or wing designated as a protective environment in which treatment and services are provided and which is secured by means of a key lock in a manner that prevents residents from leaving the unit at will. A facility locked for purposes of external security is not a locked unit provided that residents may exit at will.

DCF 52.42(1)(d) (d) “Emergency safety intervention” means that a staff member physically intervenes with a resident when the resident’s behavior presents an imminent danger of harm to self or others and physical restraint or physically enforced separation is necessary to contain the risk and keep the resident and others safe.

DCF 52.42(1)(e) (e) “Physically enforced separation” means that a resident is temporarily physically removed to a time-out room or area including, where applicable, a locked unit. “Physically enforced separation” does not include sending a resident on the resident’s own volition to the resident’s room or another area for a cooling off period as part of a de-escalation technique.

DCF 52.42(1)(f) (f) “Physical hold restraint” means that a resident is temporarily physically restrained by a staff member.

DCF 52.42(1)(g) (g) “Time-out room” means a designated room used for temporarily holding a resident who is in physically enforced separation from other residents.

DCF 52.42(2) (2) Monitor and review responsibility.

DCF 52.42(2)(a) (a) A center shall assign to a professional staff member the responsibility to monitor and review, on an ongoing basis, the use of all center behavior management measures identified under par. (b) for appropriateness and consistency.

DCF 52.42(2)(b) (b) Monitoring and review shall cover violation of house rules and their resulting consequences, the use of physical hold restraint and physically enforced separation in emergency safety intervention, the use of a locked unit when used to facilitate a resident’s treatment plan under sub. (7) (a) 3., and all related center policies and procedures.

DCF 52.42(3) (3) Conduct of residents. A center shall have written policies and procedures covering the conduct expected of residents. The policies and procedures shall do all of the following:

DCF 52.42(3)(a) (a) Promote the growth, development and independence of residents.

DCF 52.42(3)(b) (b) Address the extent to which a resident’s choice will be accommodated in daily decision making. There shall be an emphasis on self-determination and self-management.

DCF 52.42(3)(c) (c) Specify center behavior management techniques and approaches available to change, eliminate or modify the behaviors or conditions identified in the center’s program statement and operating plan required under s. DCF 52.41 (1).

DCF 52.42(3)(d) (d) Specify criteria for levels of supervision of activities, including off-grounds activities. These criteria shall be directed at protecting the safety and security of residents, center staff, visitors and the community.

DCF 52.42(3)(e) (e) Provide for making a record of a resident’s off-grounds activities. The record shall include where the resident will be, duration of the visit, the name, address and phone number of the person responsible for the resident and expected time of the resident’s return.

DCF 52.42(3)(f) (f) Specify house rules for the residents. The house rules shall include all of the following:

DCF 52.42(3)(f)1. 1. A general description of acceptable and unacceptable conduct.

DCF 52.42(3)(f)2. 2. Curfew requirements.

DCF 52.42(3)(f)3. 3. A resident’s individual freedoms when the resident is involved in recreational or school activities away from the center.

DCF 52.42(3)(f)4. 4. Consequences for a resident who violates a house rule.

DCF 52.42 Note Note: There is a difference between a patient right and a privilege. Deprivation of a privilege such as watching television, playing video games, going to the movies or involvement in some other recreational activity may be used as a disciplinary measure.

DCF 52.42(3)(g) (g) Provide for distribution of the house rules to all staff and to all residents and their parents or guardians.

DCF 52.42(4) (4) Prohibited measures. Center staff may not employ any cruel or humiliating measure such as any of the following:

DCF 52.42(4)(a) (a) Physically hitting or harming a resident.

DCF 52.42(4)(b) (b) Requiring physical exercise such as running laps or doing push-ups or other activities causing physical discomfort such as squatting or bending, or requiring a resident to repeat physical movements or assigning the resident unduly strenuous physical work.

DCF 52.42(4)(c) (c) Verbally abusing, ridiculing or humiliating a resident.

DCF 52.42(4)(d) (d) Denying shelter, clothing, bedding, a meal, or a menu item, center program services, emotional support, sleep or entry to the center.

DCF 52.42(4)(e) (e) Use of a chemical or physical restraint or physically enforced separation or a time-out room as punishment.

DCF 52.42(4)(f) (f) Authorizing or directing another resident to employ behavior management techniques on a resident.

DCF 52.42(4)(g) (g) Penalizing a group for an identified group member’s misbehavior.