A summary of the activities of that office in the previous year, including actions the office has taken to improve the coordination of mental health services provided to children by state agencies.
A summary of data collected by that office that relate to the outcomes of children who receive mental health services provided by state agencies.
A discussion of areas in which the state's delivery of mental health services for children could be improved.
History: 2013 a. 20
Department; powers and duties. 51.03(1g)(a)
“Early intervention" means action to hinder or alter a person's mental disorder or abuse of alcohol or other drugs in order to reduce the duration of early symptoms or to reduce the duration or severity of mental illness or alcohol or other drug abuse that may result.
“Individualized service planning" means a process under which a person with mental illness or who abuses alcohol or other drugs and, if a child, his or her family, receives information, education and skills to enable the person to participate mutually and creatively with his or her mental health or alcohol or other drug abuse service provider in identifying his or her personal goals and developing his or her assessment, crisis protocol, treatment and treatment plan. “Individualized service planning" is tailored to the person and is based on his or her strengths, abilities and needs.
“Prevention" means action to reduce the instance, delay the onset or lessen the severity of mental disorder, before the disorders may progress to mental illness, by reducing risk factors for, enhancing protections against and promptly treating early warning signs of mental disorder.
“Recovery" means the process of a person's growth and improvement, despite a history of mental illness or alcohol or other drug abuse, in attitudes, feelings, values, goals, skills and behavior and is measured by a decrease in dysfunctional symptoms and an increase in maintaining the person's highest level of health, wellness, stability, self-determination and self-sufficiency.
“Stigma" means disqualification from social acceptance, derogation, marginalization and ostracism encountered by persons with mental illness or persons who abuse alcohol or other drugs as the result of societal negative attitudes, feelings, perceptions, representations and acts of discrimination.
The department through its authorized agents may visit or investigate any treatment facility to which persons are admitted or committed under this chapter.
No later than 14 days after the date of a death reported under s. 51.64 (2) (a)
, the department shall investigate the death.
Beginning on September 1, 1996, the department shall collect and analyze information in this state on each of the following:
The number of, cost of and paying sources for days of inpatient mental health treatment that result from the commitments initiated under subd. 1.
or ordered under subd. 2.
The number of persons who are receiving care and treatment under community support programs voluntarily or under commitments ordered under s. 51.20 (13)
The number of individuals authorized to consent to involuntary administration of psychotropic medication under s. 55.14 (8)
or for whom guardians were appointed under s. 880.33 (4m)
, 2003 stats.
By April 1, 1997, and annually by that date for 3 years thereafter, the department shall submit a report to the legislature under s. 13.172 (2)
on the information collected under par. (a)
Within the limits of available state and federal funds, the department may do all of the following:
Promote the creation of coalitions among the state, counties, providers of mental health and alcohol and other drug abuse services, consumers of the services and their families and advocates for persons with mental illness and for alcoholic and drug dependent persons to develop, coordinate and provide a full range of resources to advance prevention; early intervention; treatment; recovery; safe and affordable housing; opportunities for education, employment and recreation; family and peer support; self-help; and the safety and well-being of communities.
In cooperation with counties, providers of mental health and alcohol and other drug abuse services, consumers of the services, interested community members and advocates for persons with mental illness and for alcoholic and drug dependent persons, develop and implement a comprehensive strategy to reduce stigma of and discrimination against persons with mental illness, alcoholics and drug dependent persons.
Develop and implement a comprehensive strategy to involve counties, providers of mental health and alcohol and other drug abuse services, consumers of the services and their families, interested community members and advocates for persons with mental illness and for alcoholic and drug dependent persons as equal participants in service system planning and delivery.
Promote responsible stewardship of human and fiscal resources in the provision of mental health and alcohol and other drug abuse services.
Develop and implement methods to identify and measure outcomes for consumers of mental health and alcohol and other drug abuse services.
Promote access to appropriate mental health and alcohol and other drug abuse services regardless of a person's geographic location, age, degree of mental illness, alcoholism or drug dependency or availability of personal financial resources.
Promote consumer decision making to enable persons with mental illness and alcohol or drug dependency to be more self-sufficient.
Promote use by providers of mental health and alcohol and other drug abuse services of individualized service planning, under which the providers develop written individualized service plans that promote treatment and recovery, together with service consumers, families of service consumers who are children and advocates chosen by consumers.
The department shall ensure that providers of mental health and alcohol and other drug abuse services who use individualized service plans, as specified in sub. (4) (h)
, do all of the following in using a plan:
Establish meaningful and measurable goals for the consumer.
Base the plan on a comprehensive assessment of the consumer's strengths, abilities, needs and preferences.
In this subsection, “licensed treatment professional" means a physician who has completed a residence in psychiatry; a psychologist; a private practice school psychologist licensed under ch. 455
; a marriage and family therapist licensed under s. 457.10
; a professional counselor licensed under s. 457.12
; an advanced practice social worker granted a certificate under s. 457.08 (2)
; an independent social worker licensed under s. 457.08 (3)
; a clinical social worker licensed under s. 457.08 (4)
; or any of these individuals practicing under a currently valid training or temporary license or certificate granted under applicable provisions of ch. 457
. “Licensed treatment professional" does not include an individual whose license or certificate is suspended, revoked, or voluntarily surrendered, or whose license or certificate is limited or restricted, when practicing in areas prohibited by the limitation or restriction.
The department may not require a mental health clinic or an individual licensed treatment professional who is otherwise authorized to provide outpatient mental health services at a school to designate the school site as a clinic office in order to provide outpatient mental health services at a school.
Denial and revocations of certification or approval based on delinquent taxes or unemployment insurance contributions. 51.032(1)(1)
Except as provided in sub. (1m)
, the department shall require each applicant to provide the department with his or her social security number, if the applicant is an individual, or the applicant's federal employer identification number, if the applicant is not an individual, as a condition of issuing any of the following:
If an individual who applies for a certification or approval under sub. (1)
does not have a social security number, the individual, as a condition of obtaining the certification or approval, shall submit a statement made or subscribed under oath or affirmation to the department that the applicant does not have a social security number. The form of the statement shall be prescribed by the department of children and families. A certification or approval issued in reliance upon a false statement submitted under this subsection is invalid.
The department may not disclose any information received under sub. (1)
to any person except to the department of revenue for the sole purpose of requesting certifications under s. 73.0301
and to the department of workforce development for the sole purpose of requesting certifications under s. 108.227
Except as provided in sub. (1m)
, the department shall deny an application for the issuance of a certification or approval specified in sub. (1)
if the applicant does not provide the information specified in sub. (1)
The department shall deny an application for the issuance of a certification or approval specified in sub. (1)
or shall revoke a certification or approval specified in sub. (1)
if the department of revenue certifies under s. 73.0301
that the applicant for or holder of a certification or approval is liable for delinquent taxes or if the department of workforce development certifies under s. 108.227
that the applicant for or holder of a certification or approval is liable for delinquent unemployment insurance contributions.
Outpatient mental health clinic certification.
Except as provided in s. 51.032
, if a facility that provides mental health services on an outpatient basis holds current accreditation from the council on accreditation of services for families and children, the department may accept evidence of this accreditation as equivalent to the standards established by the department, for the purpose of certifying the facility for the receipt of funds for services provided as a benefit to a medical assistance recipient under s. 49.46 (2) (b) 6. f.
or 49.471 (11) (k)
, a community aids funding recipient under s. 51.423 (2)
or as mandated coverage under s. 632.89
Treatment facility certification.
Except as provided in s. 51.032
, any treatment facility may apply to the department for certification of the facility for the receipt of funds for services provided as a benefit to a medical assistance recipient under s. 49.46 (2) (b) 6. f.
or 49.471 (11) (k)
or to a community aids funding recipient under s. 51.423 (2)
or provided as mandated coverage under s. 632.89
. The department shall annually charge a fee for each certification.
History: 1975 c. 224
; Stats. 1975 s. 51.44; 1975 c. 430
; Stats. 1975 s. 51.04; 1983 a. 27
; 1985 a. 29
; 1995 a. 27
; 1997 a. 237
; 2007 a. 20
See also ch. DHS 35
, Wis. adm. code.
Youth crisis stabilization facilities. 51.042(1)(a)
“Crisis” means a situation caused by an individual's apparent mental disorder that results in a high level of stress or anxiety for the individual, persons providing care for the individual, or the public and that is not resolved by the available coping methods of the individual or by the efforts of those providing ordinary care or support for the individual.
“Youth crisis stabilization facility” is a treatment facility with a maximum of 8 beds that admits a minor to prevent or de-escalate the minor's mental health crisis and avoid admission of the minor to a more restrictive setting.
Certification required; exemption. 51.042(2)(a)
No person may operate a youth crisis stabilization facility without a certification from the department. The department may limit the number of certifications it grants to operate a youth crisis stabilization facility.
A youth crisis stabilization facility that has a certification from the department under this section is not subject to facility regulation under ch. 48
Admission of minors.
A minor may be admitted to a youth crisis stabilization facility under this section by a court order under s. 51.20 (13) (a) 3.
or through the procedure under s. 51.13
. No person may transport a minor to a youth crisis stabilization facility for detention under s. 51.15
The department may promulgate rules to implement this section.
History: 2017 a. 59
Availability of inpatient psychiatric and other beds. 51.045(1m)(1m)
From the appropriation under s. 20.435 (2) (cm)
, the department shall award a grant in the amount of $80,000 in fiscal year 2021-22 and $50,000 in each fiscal year thereafter to the entity under contract under s. 153.05 (2m) (a)
to develop and operate an Internet site and system to show the availability of inpatient psychiatric beds, peer run respite beds, and crisis stabilization beds statewide. To receive the grant, the entity shall use a password protected Internet site to allow an inpatient psychiatric unit or hospital or a facility, center, or program that has inpatient psychiatric, peer run respite, or crisis stabilization beds to enter all of the following information and to enable any hospital emergency department or person who approves emergency detentions under s. 51.15 (2) (c)
in the state to view all of the following information reported to the system:
(a) The number of available child, adolescent, adult, and geriatric
beds, as applicable, that are inpatient psychiatric, peer run respite, or crisis stabilization beds and that are currently available at the hospital, unit, facility, center, or program at the time of reporting.
(b) Any special information that the hospital
, unit, facility, center, or program reports regarding the available beds under par. (a)
(c) The date the hospital
, unit, facility, center, or program reports the information under pars. (a)
(d) The location of the hospital
, unit, facility, center, or program that is reporting.
(e) The contact information for admission coordination for the hospital
, unit, facility, center, or program.
History: 2015 a. 153
; 2021 a. 58
Mental health services.
From the appropriation under s. 20.435 (5) (fr)
, the department may not award more than $45,000 in each fiscal year to applying public or nonprofit private entities for the costs of providing certain mental health services to homeless individuals with serious and persistent mental illness. Entities that receive funds awarded by the department under this section shall provide the mental health services required under 42 USC 290cc-24
. The amount that the department awards to an applying entity may not exceed 50 percent of the amount of matching funds required under 42 USC 290cc-23
History: 2005 a. 25
; 2005 a. 264
; 2007 a. 45
; 2011 a. 32
2011 s. 16.311; 2017 a. 59
; Stats. 2017 s. 51.047.
Mental health institutes. 51.05(1)(1)
The mental health institute located at Mendota is known as the “Mendota Mental Health Institute" and the mental health institute located at Winnebago is known as the “Winnebago Mental Health Institute". Goodland Hall West, a facility located at Mendota Mental Health Institute, is designated as the “Maximum Security Facility at Mendota Mental Health Institute". The department shall divide the state by counties into 2 districts, and may change the boundaries of these districts, arranging them with reference to the number of patients residing in them at a given time, the capacity of the institutes and the convenience of access to them.
Admissions authorized by counties.
The department may not accept for admission to a mental health institute any resident person, except in an emergency, unless the county department under s. 51.42
in the county where the person has residence authorizes the care under s. 51.42 (3) (as)
. Patients who are committed to the department under s. 975.01
, 1977 stats., or s. 975.02
, 1977 stats., or s. 971.14
, or 980.06
, admitted by the department under s. 975.17
, 1977 stats., or are transferred from a juvenile correctional facility or a secured residential care center for children and youth to a state treatment facility under s. 51.35 (3)
or from a jail or prison to a state treatment facility under s. 51.37 (5)
are not subject to this section.
Admissions authorized by department.
Any person who is without a county responsible for his or her care and any person entering this state through the compact established under s. 51.75
may be accepted by the department and temporarily admitted to an institute. Such person shall be transferred to the county department under s. 51.42
for the community where the best interests of the person can best be served, as soon as practicable.
Transfers and discharges.
The transfer or discharge of any person who is placed in a mental health institute shall be made subject to s. 51.35
If an individual over the age of 2 and under the age of 22 and eligible for special education and related services under subch. V of ch. 115
is committed, admitted or transferred to or is a resident of the Mendota Mental Health Institute or Winnebago Mental Health Institute, the individual shall attend a school program operated by the applicable mental health institute or a school outside the applicable mental health institute which is approved by the department of public instruction. A school program operated by the Mendota Mental Health Institute or Winnebago Mental Health Institute shall be under the supervision of the department of public instruction and shall meet standards prescribed by that agency.
The department shall provide mental health services appropriate for hearing-impaired individuals who are residents of or are committed, admitted or transferred to a mental health institute.
Centers for the developmentally disabled. 51.06(1)(1)
The purpose of the northern center for developmentally disabled, central center for developmentally disabled and southern center for developmentally disabled is to provide services needed by developmentally disabled citizens of this state that are otherwise unavailable to them, and to return those persons to the community when their needs can be met at the local level.
Services to be provided by the department at centers for the developmentally disabled shall include:
Education within the requirements of sub. (2)
, training, habilitative and rehabilitative services to those persons placed in its custody.