Section DHS 75.14 - Prevention service(1)SERVICE DESCRIPTION. A prevention service makes use of universal, selective, and indicated prevention services as defined by s. DHS 75.14(3). Prevention services may be focused on reducing behaviors and actions that increase the risk of misusing substances or being affected by another person's substance use.(2)APPLICABILITY. This section shall apply to prevention services when required by contract with the department, or when a prevention service requests certification.(3)DEFINITIONS. In this section:(a) "Prevention" has the meaning given in s. SPS 160.02(21).(b) "Prevention domain" refers to content areas that professionals working in substance use prevention shall be knowledgeable in. The prevention domains include any of the following: 1. Planning and evaluation.2. Prevention education and service delivery.4. Community organization.5. Public policy and environmental change.6. Professional growth and responsibility, including ethics.(c) "Prevention service" means the organized application of strategies and interventions that are provided to reduce the overall harms and burden of substance use for an identified community or group.(d) "Prevention strategy" means activities targeted to a specific population or the larger community that are designed to be implemented before the onset of problems as a means to prevent substance use or its detrimental effects from occurring.(e) "Target population" means the identified community or group that a prevention strategy is aimed to impact.(f) "Universal, selective, and indicated prevention strategy" means different levels of risk that are addressed through community-based substance use prevention efforts, where universal prevention efforts focus on general audiences who have not been identified based on substance use-related risk, selective prevention efforts focus on audiences with known risk factors for a substance use-related problem, and indicated prevention efforts focus on audiences who are already experiencing a substance use-related problem.(4)GENERAL REQUIREMENTS.(a)Governing authority or entity owner. The governing authority or entity owner of a service shall do all of the following: 1. Designate a member or representative of the governing body that is legally responsible for the operation of a service that has the authority to conduct the policy, actions, and affairs of the service, to complete the entity owner background check and to be the entity owner responsible for a service.2. Appoint a service director whose qualifications, authority, and duties are defined in writing.3. Establish written policies and procedures for the operation of the service and exercise general direction over the service, to ensure the following: a. Compliance with local, state and federal laws.b. That no person will be denied service or discriminated against on the basis of sex, race, color, creed, sexual orientation, disability, or age, in accordance with 45 CFR part 92 and Title VI of the Civil Rights Act of 1964, as amended, 42 USC. 2000d, Title XI of the Education Amendments of 1972, 20 USC 1681-1686 and s. 504 of the Rehabilitation Act of 1973, as amended, 29 USC 794, and the Americans with Disabilities Act of 1990, as amended, 42 USC 12101-12213. (b)Caregiver background check. At the time of hire, employment, or contract, and every 4 years after, the service shall conduct and document a caregiver background check following the procedures in s. 50.065, Stats., and ch. DHS 12. A service shall not employ or contract with a person who has been convicted of a crime or offense, or has a governmental finding of misconduct, found in s. 50.065, Stats., and ch. DHS 12, Appendix A, unless the person has been approved under the department's rehabilitation process as defined in ch. DHS 12.(c)Personnel records. Employee records shall be available upon request at the service for review by the department. A separate record for each employee shall be maintained, kept current, and at a minimum, include: 1. A written job description including duties, responsibilities and qualifications required for the employee.2. Beginning date of employment.3. Qualifications based on education or experience.4. A completed caregiver background check following procedures under s. 50.065, Stats., and ch. DHS 12.5. A copy of a signed statement regarding confidentiality of client information.6. Documentation of any required training.7. A copy of any required licenses or certifications.(d)Confidentiality. A service shall have written policies, procedures, and staff training to ensure compliance with confidentiality provisions of 42 CFR part 2, 45 CFR parts 164 and 170, s. 51.30, Stats., and ch. DHS 92. Each staff member shall sign a statement acknowledging responsibility to maintain confidentiality of personal information about persons served. (5)REQUIRED PERSONNEL.(a)Prevention professional. A professional employed by the service shall be knowledgeable and skilled in areas of substance use prevention, including prevention domains, prevention services, and program implementation.(b)Training. Staff shall receive ongoing training to improve skills and knowledge in the prevention domains and in the implementation of prevention services.(6)OPERATION OF THE PREVENTION SERVICE.(a)General. A prevention service shall utilize recognized best practices for evidence-based substance use prevention.(b)Strategies employed by the prevention service.1. 'Comprehensive approach.' A prevention service shall employ a comprehensive approach that targets universal, selective, and indicated populations, and uses strategies which seek to prevent substance use and its effects.2. 'Information dissemination.' The prevention service shall provide awareness and knowledge of the nature and extent of the identified problem and generate knowledge and awareness of available prevention services via one-way communication with the public. Examples of methods that may be used to carry out this strategy include the following: a. Operation of an information clearinghouse.b. Development and distribution of a resource directory.d. Development and distribution of brochures.e. Radio and TV public service announcements.g. Participation in health fairs and other health promotion activities.3. 'Education.' The prevention service shall provide two-way communication between staff and a client or clients, that is directed towards affecting critical life and social skills, including decision-making, refusal skills, critical analysis, and systematic judgment abilities. Examples of activities that may be conducted and methods used in carrying out this strategy include the following: a. Classroom or small group sessions.b. Parenting and family management classes.c. Peer leader or helper programs.d. Education programs for youth groups.e. Groups for children with family members who use substances.4. 'Alternative activities.' The prevention service shall provide activities that assist in building resiliency and exclude alcohol, tobacco, and other drug use to targeted populations. The assumption is that constructive and healthy activities offset the attraction to, or otherwise meet the needs that may be fulfilled by, alcohol, tobacco, and other drugs. Alternative activities also provide a means of character-building and may promote healthy relationships between youth and adults, in that participants may internalize the values and attitudes of the individuals involved in establishing the prevention services objectives. Examples of activities that may be promoted or conducted under this strategy include the following:a. Drug-free dances and parties.b. Youth or adult leadership activities.c. After-school activities such as participation in athletic activities, music lessons, art clubs or the school newspaper.d. Community drop-in centers.e. Community service activities.5. 'Problem identification and stand-alone referral.' The prevention service shall implement methods to identify individuals who have demonstrated at-risk behavior, such as illegal or age-inappropriate use of tobacco or alcohol, or first use of illicit drugs, and determine if the individual's behavior can be reversed through education. This strategy does not include activities designed to determine if a person is in need of treatment. Examples of activities that may be conducted and methods used in carrying out this strategy include the following: a. Employee assistance programs.b. Student assistance programs.c. Educational programs for individuals charged with driving while under the influence or driving while intoxicated.6. 'Environmental.' The prevention service shall establish community standards, codes, and attitudes, aimed at reducing the prevalence of at-risk behavior among the general population. Examples of methods that may be used in carrying out this strategy include the following:a. Promoting the establishment and review of policies for schools, government, and civic groups related to the use of alcohol, tobacco, and drugs.b. Providing technical assistance to communities to maximize local enforcement procedures governing availability and distribution of alcohol, tobacco, and other drugs.c. Reduce youth alcohol, tobacco, and drug exposure by modifying alcohol and tobacco advertising practices.d. Supporting local enforcement procedures to limit violent behavior.e. Establishing policies that create opportunities for youth to become involved in their communities.7. 'Community-based process.' The prevention service shall implement processes that enhance the ability of the community to more effectively provide prevention services for behaviors that lead to substance use. Activities under this strategy include organizing, planning, enhancing the efficiency and effectiveness of services implementation, interagency collaboration, coalition building and networking. Examples of activities that may be conducted and methods used in carrying out this strategy include the following: a. Community and volunteer training, such as neighborhood action training and training of key people in the system.b. Systematic planning in the above prevention strategy areas.c. Multi-agency coordination and collaboration.d. Facilitating access to services and funding.e. Active participation in a community prevention coalition.(c)Goals and objectives. A prevention service shall have written operational goals and objectives that specify the strategies by which they will be achieved and the target population served.(d)Documentation of coordination. A prevention service shall provide written documentation of coordination with other human service agencies, organizations or services that share similar goals.(e)Records. A prevention service shall maintain records on the number of individuals served by implementation of each prevention strategy and retain records necessary for meeting certification and funding requirements.(7) PREVENTION SERVICE EVALUATION. (a)Prevention evaluation outcomes. A prevention service shall have an evaluation process that measures the outcomes of the services provided.(b)Prevention evaluation by consumers. A prevention service shall evaluate the views of consumers about the services they are provided and shall adjust goals and objectives accordingly.(c)Prevention service written policy. A prevention service shall have a written policy and a defined process to provide individuals with the opportunity to express opinions regarding ongoing services, staff, and the methods by which individual prevention activities are offered.Wis. Admin. Code Department of Health Services DHS 75.14
Cr. Register, July, 2000, No. 535, eff. 8-1-00; correction in (3) made under s. 13.92(4) (b) 7, Stats., Register November 2008 No. 635; CR 09-109: am. (5) Register May 2010 No. 653, eff. 6-1-10; correction in (5) (a), (b) made under s. 13.92(4) (b) 7, Stats. Register November 2011 No. 671.Adopted by, CR 20-047: cr. Register October 2021 No. 790, eff. 10-1-22; correction in (1) made under s. 13.92(4) (b) 7, Stats., and correction in (4) (a) 3. b., (d) made under s. 35.17, Stats., Register October 2021 No. 790, eff. 10/1/2022This section is created eff. 10-1-22 by CR 20-047.