Wisconsin Administrative Code
Department of Children and Families
DCF 021-99 - Safety and Permanence
Chapter DCF 52 - Residential Care Centers For Children And Youth
Subchapter VII - Specialized Programs
Section DCF 52.58 - Exceptions and additional requirements for short-term programs
Universal Citation: WI Admin Code ยง DCF 52.58
Current through August 26, 2024
(1) APPLICABILITY.
(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.
(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.
(2) DEFINITIONS. In this section:
(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.
(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.
(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.
(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:
(a) A narrative
covering treatment purpose, philosophy, approach and methods for short-term
transitional placement into the community.
(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.
(c) Identification of any coordinating
service and placement agencies.
(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.
(e) A description of arrangements for
continuing education of short-term residents.
(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.
(g) A description of
recreational activities and programming available for short-term
residents.
(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:
(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:
1. Provide or arrange for routine medical
services and procedures, including dental services and non-prescription and
prescription medications.
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.
3. Obtain other medical information as needed
on the resident.
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.
(b)
Health screening. Upon
admission of a short-term resident, center staff shall do both of the
following:
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.
2.
Arrange for or obtain the results of a complete physical examination comparable
to a HealthCheck examination for each resident in accordance with the
HealthCheck periodicity schedule.
(c)
Preliminary care and treatment
plan.
1. Upon admission of a new
short-term resident to a center for a short-term treatment program, the center
shall develop a preliminary care and treatment plan for the new resident
pending completion of the short-term program assessment and treatment plan
under sub. (5) (b).
2. The
preliminary care and treatment plan shall be based on the center's review of
information received from the referral agency and the center's professional
intake staff person's initial evaluation of the new resident's treatment and
care needs.
3. The preliminary care
and treatment plan shall be completed within 7 calendar days of a short-term
resident's admission and shall identify or describe all of the following:
a. Referral agency goals and objectives for
the resident, if any, and center care and treatment objectives for the
resident.
b. The primary or
immediate presenting behavior issues of the resident.
c. Center services to be provided to the
resident to address those primary or immediate presenting behavior
issues.
d. Any special immediate
medical or dietary needs.
(5) ASSESSMENT, TREATMENT PLANNING AND DISCHARGE PLANNING.
(a)
General. A center's short-term treatment program shall meet
the assessment and treatment planning requirements under par. (b), instead of
those under s. DCF 52.22, for each resident. Center staff shall date and
document meeting these requirements in each short-term resident's
record.
(b)
Assessment and
treatment and care planning. A plan for a short-term care resident's
care and treatment shall be developed within 15 calendar days of admission. The
plan shall include all of the following:
1.
`Assessment.' A documented assessment of the resident's needs both immediate
and for transition to community placement. The assessment shall be conducted
where possible with resident care worker staff who will work with the resident,
the placing person or agency, the resident if 12 years of age or older, a
center social worker and, as necessary, professional consultants. The
assessment shall cover all of the following:
a. Presenting issues or problems. These may
include behavioral functioning, emotional or psychological status, personal and
social development and familial relationships.
b. Educational needs.
c. Recreational interests and
abilities.
d. Perceived barriers or
risks in making the transition to community placement.
e. Services necessary to address assessment
areas.
2. `Treatment and
care plan.' A dated treatment and care plan developed where possible by the
persons or agencies identified under subd. 1. that is time-limited,
goal-oriented and individualized to meet specific resident needs identified in
the assessment under subd.1. The plan shall include all of the following
components:
a. Identification of staff and
services to be provided or arranged by the center to meet the resident's
needs.
b. A statement of behavioral
or functional objectives that specifies resident behaviors to be addressed with
the objectives focused on preparing the resident for transition to community
based placement services and other placement arrangements.
c. Transitional planning arrangements with
the placing agency which provide for continuity in programming when the
resident is placed into the community.
d. Arrangements for continuing educational
services and other programming during the resident's stay at the
center.
3. `Treatment plan
implementation and review.'
a. A short-term
resident's services case manager shall coordinate, monitor and document in the
resident's treatment record a review and assessment of the treatment and care
plan for the resident no later than 30 days after admission and at least every
30 days thereafter to determine the resident's readiness for community
placement by considering the resident's strengths and suitability for community
placement.
b. The review and
assessment under subd. 3. shall identify the reason for continued placement at
the center, any planning efforts for community placement, barriers to placement
in the community and plans to eliminate those barriers and recommendations if
any, for changes in transitional placement planning or in efforts to prepare
the resident for community placement.
c. In documenting a review and assessment of
the treatment and care plan for a resident, the resident's services case
manager shall enter the date of the review and list the participants in the
review.
(c)
Discharge planning. A short-term treatment program need only
comply with sub. (2) in s. DCF 52.23, and shall include documentation of all of
the following in any discharge plan for a resident:
1. The date and reason for
discharge.
2. New location of the
resident.
3. A brief statement
identifying resident readiness for discharge and placement elsewhere and
remaining needs.
4. Name and title
of person and agency to which the resident was discharged.
5. For an unplanned discharge, a brief
summary or other documentation of the circumstances surrounding the
discharge.
(6) RESIDENT RECORDS. A short-term treatment program shall meet the resident record requirements in this section and in s. DCF 52.49 except under s. DCF 52.49 (2) (b) 1. a. to g. and 3.
(7) TRAINING AND EVALUATION.
(a) Initial training for
staff of short-term treatment programs shall include training in the following
areas:
1. Wrap around principles and
philosophy.
2. Arranging for
transitional care and transitional placement planning principles and
methods.
(b) A center
shall at least annually evaluate its short-term treatment care program through
a center survey to be completed and returned to the center by referral sources.
The center shall use the survey information to improve, as necessary, its
short-term care program.
Disclaimer: These regulations may not be the most recent version. Wisconsin may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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