Section DHS 40.11 - Referral and Screening(1) POLICIES. (a) The program director or clinical coordinator or designee shall review all referrals and verify the medical necessity and clinical appropriateness for day treatment services for the referred youth.(b) A program shall establish written selection criteria for use when screening an applicant for admission, including all of the following:1. Sources from which referrals may be accepted by the program and how those sources make referrals.2. Procedures for making admission decisions.3. Any funding restrictions which will be applied to admissions such as availability of insurance, required support for the placement from other agencies or the youth or legal representatives ability to pay.4. Any client characteristics for which the program has been specifically designed, including the nature or severity of disorders, including co-occurring disorders, which can be managed within the program, type of needs that can be addressed, whether male or female youth, or both, may be admitted, and the length of time that services may be provided to a youth.(2) ADMISSION. A program may not admit a youth unless all of the following information has been requested, the request has been documented, and reasonable efforts have been made to obtain a complete record of the youth's mental health needs:(a) The most recent psychiatric assessment.(b) The Individualized Education Plan from the local education agency that is serving the client if the youth has an Individualized Education Plan.(c) Discharge summaries from any psychiatric hospitalizations that have occurred within the past 12 months.(d) Available information about any prior trauma history that the youth may have, and any risks of harm to self or others that the youth may present.(e) Records of all mental health or substance use disorder treatment or services that the applicant has received during the past 12 months.(3) SCREENING SUMMARY. (a) Once a program has screened an applicant for services and has decided to admit the applicant, a mental health professional shall prepare a written screening summary. The screening summary shall be completed prior to the first day of the youth attending the program. The purpose of the screening summary is to demonstrate the youth's appropriateness for the type of day treatment being initiated and reveal the diagnostic thought process and reasons that led to the decision to admit.(b) The screening summary shall include all of the following:1. The names of individuals involved in the referral for admission, those contacted during the screening process, and the dates of meetings or other contacts with those individuals.2. A summary of reviewed materials deemed to be valid, reliable, and reflect the current functioning of the youth during the screening process.3. A summary of the reasons for admission or denial.4. A diagnostic summary and a summary of medications, dosages, and dates.5. A profile of the needs and strengths of the youth.6. A summary of the services which will be offered while the assessment and treatment plan are prepared under ss. DHS 40.13 and 40.14, and setting the date on which the youth may begin attending the program.7. A description of educational and community resources available.8. A summary of other less and more restrictive service alternatives to day treatment that were considered and an explanation of why they were determined to not be appropriate to meet the youth's needs.9. A summary of other less restrictive services to day treatment in which the youth is dually involved and the reason for continued dual enrollment.10. An initial discharge plan with measurable criteria for determining how the youth's needs may be met by less restrictive services following discharge.Wis. Admin. Code Department of Health Services § DHS 40.11
Cr. Register, August, 1996, No. 488, eff. 9-1-96.Adopted by, CR 19-018: cr. Register June 2020 No. 774, eff. 7-1-20; correction in (3) (b) 4. made under s. 35.17, Stats., Register June 2020 No. 774, eff. 7/1/2020