Section DHS 40.14 - Treatment Plan(1) TREATMENT PLAN. (a) The interdisciplinary treatment team shall prepare a written treatment plan for a youth based upon the written assessment under s. DHS 40.13 (2) within 15 calendar days after admission. The treatment plan shall describe measurable objectives that will be met and services that will be provided to the youth.(b) The written treatment plan shall include all of the following: 1. The youth's strengths, treatment strategies, and measurable outcomes to be accomplished.2. Clinical and support services to reduce or eliminate the symptoms causing the youth's problems or inability to function in day to day living, and to increase the youth's ability to function as independently as possible.3. The schedules, frequency, nature of services recommended to support the achievement of the youth's goals, irrespective of the availability of services or funding, and the responsible party for that intervention.4. The proposed length of time the youth will participate in the program and the amount of time that the youth will attend the program each week.5. The involvement of a youth's legal representative with the program and any services that a legal representative will participate in while the youth is in the program.6. A summary of other services the youth will receive while enrolled in the program, including educational services, other services that the program will be providing for the youth, and services and supports that will be provided by other agencies or providers and the process by which those educational and other services will be coordinated with services provided by the program.6m. If any part of the services will be delivered via telehealth, a description of those services and clinical justification for delivering services via telehealth rather than in person.7. The procedure for monitoring and managing any risk of suicide if the assessment identified risks.8. Any medication the youth is receiving, the name of the physician prescribing the medication, the dosages prescribed, the purpose for which it is prescribed, the frequency of administration, a plan for monitoring its administration and effects by the physician, and a plan for care coordination with a psychiatrist or advanced practice nurse prescriber.9. A transition services component that establishes when a transition process should begin, the staff member responsible for supporting transition services, and a process for the reintegration of the youth who is completing the program into family, community and school activities.(c) The treatment plan shall be signed by the youth or legal representative and the clinical coordinator. With informed consent, a service provider who is part of the treatment plan may also review and sign the treatment plan.(2) REVIEW OF TREATMENT PROGRESS. (a) At a minimum, the care coordinator shall reconvene the interdisciplinary treatment team as follows: 1. In community-based programs, within 30 calendar days following approval of the initial treatment plan and at least every 30 days thereafter.2. In hospital-based programs, within 15 calendar days following approval of the initial treatment plan and at least every 15 days thereafter.(b) In reviewing case progress, the interdisciplinary treatment team shall determine all of the following: 1. The degree to which the measurable objectives in the treatment plan have been met.2. Any significant changes suggested or required in the treatment plan.3. Whether any additional assessment of functional improvement is recommended as a result of information received or observations made during the course of treatment.4. The youth's assessment of functional improvement toward meeting treatment goals and suggestions for modification.(c) As part of its review of case progress, the interdisciplinary treatment team shall prepare a written report which includes all of the following:1. A description of the youth's progress toward measurable objectives established in the treatment plan.2. Documentation of clinical contacts with youth and interventions required as part of the treatment plan.3. Identification of all days on which services were actually delivered to the client, and the amount of time the client spent in the program on those days.(d) The written report shall be prepared as follows:1. At least every 30 days in community-based programs.2. At least every 15 days in hospital-based programs.(e) The written report shall be maintained as a permanent part of the youth's record.(f) A youth may continue to participate in a day treatment program as long as the review of the youth's treatment plan under par. (b) indicates that the youth remains appropriate for the continued services being offered and services support the achievement of the measurable objectives identified in the treatment plan.(3) TERMINATION OF SERVICES. (a)Decision. Services provided to a youth under an individual treatment plan may be terminated by the program before the youth's goals for discharge are attained under any of the following circumstances:1. By agreement between the youth or legal representative, the program director, and the clinical coordinator.2. By direction of the program director and the clinical coordinator acting upon recommendation of the interdisciplinary treatment team, if the team determines any of the following: a. Further participation of the youth in the program is unlikely to provide any reasonable benefit to the youth.b. The youth's condition requires a greater or more restrictive level of care than can be provided by the program.c. The youth's behavior or condition is such that it creates a serious risk of harm to other clients in the program or to program staff members and no modifications of the program procedures or services are possible which will ensure the safety of other clients or staff members.(b)Notice.1. Unless the youth poses an immediate risk of harm to other clients or staff members or subd. 2. applies, the program shall provide the youth or legal representative and other agencies providing services to the client pursuant to the treatment plan with at least 7 days prior notice of the intent to terminate services.2. When a youth has been placed in the program by order of a court under ch. 48, 51, 55, or 938, Stats., the program shall provide that court and the social worker responsible for supervising the implementation of the court order with 14 days prior notice of the intent to end services, unless the youth poses an immediate risk of harm to other clients or staff members, in order to permit the court to enter an alternative order regarding the care of the youth.Wis. Admin. Code Department of Health Services § DHS 40.14
Cr. Register, August, 1996, No. 488, eff. 9-1-96; correction in (1) made under s. 13.92(4) (b) 7, Stats., Register November 2008 No. 635.Adopted by, CR 19-018: cr. Register June 2020 No. 774, eff. 7-1-20; correction in (3) (b) 2. made under s. 35.17, Stats., Register June 2020 No. 774, eff. 7/1/2020Amended by, CR 23-053: cr. (1) (b) 6m. Register September 2023 No. 813, eff. 10/1/2023