Section DHS 75.56 - Adult residential integrated behavioral health stabilization service(1)SERVICE DESCRIPTION. In this section, "adult residential integrated behavioral health stabilization service" means a residential behavioral health treatment service, delivered under the oversight of a medical director, that provides withdrawal management and intoxication monitoring, as well as integrated behavioral health stabilization services, and includes nursing care on-site for medical monitoring available on a 24-hour basis. Patients in this setting may receive treatment services for a substance use disorder, a mental health disorder, or both. Adult residential integrated behavioral health stabilization services are appropriate for adult patients whose acute withdrawal signs and symptoms or behavioral health needs are sufficiently severe to require 24-hour care; however, the full resources of a hospital are not required. Services delivered in this setting may include screening, assessment, intake, evaluation and diagnosis, medical care, observation and monitoring, physical examination, determination of medical stability, medication management, nursing services, case management, drug testing, counseling, individual therapy, group therapy, family therapy, psychoeducation, peer support services, recovery coaching, recovery support services, and crisis intervention services, to ameliorate acute behavioral health symptoms and stabilize functioning.(2)STAFF ORIENTATION AND TRAINING.(a) An adult residential integrated behavioral health stabilization service shall develop and implement an orientation program for all staff and volunteers. The orientation shall be designed to ensure that staff and volunteers know and understand all of the following:1. The program's general policies and procedures.2. Applicable parts of chs. 48, 51 and 55, Stats., and any administrative rules related to behavioral health emergency services.3. Applicable parts of chapter DHS 34 rules concerning emergency mental health service programs.4. Behavioral health and psychopharmacology concepts applicable to crisis situations.5. Techniques and procedures for providing non-violent crisis management for patients, including verbal de-escalation, methods for obtaining backup, and acceptable methods for self-protection and protection of the patient and others in emergency situations.(b) Unlicensed staff working in the clinical setting shall complete a minimum of 40 hours of documented orientation training within 3 months after beginning work with the program.(c) Staff of an adult residential integrated behavioral health stabilization service shall receive at least 8 hours per year of training on emergency behavioral health services, rules and procedures relevant to the operation of the program, compliance with state and federal regulations, cultural competency in behavioral health services, and current issues in client's rights and services.(3)ADDITIONAL INTAKE AND ADMISSION REQUIREMENTS. (a) An adult residential integrated behavioral health stabilization service shall have written policies and procedures for the assessment of safety and consideration of safety risks to the patient and others prior to admitting a patient.(b) An individual with any of the following symptoms, behaviors, or concerns shall be excluded from admission to an adult residential integrated behavioral health stabilization service: 1. Assaultive ideation or assaultive behaviors combined with likelihood to act on those behaviors.2. Exhibiting active self-injurious behavior.3. A recent suicide attempt or ongoing suicidal ideation combined with a continued threat or plan to act on suicidal ideation.(c) The intake screening shall include documentation of the determination and plan for the level of observation needed to address the patient's needs and any safety concerns.Wis. Admin. Code Department of Health Services DHS 75.56
Adopted by, CR 20-047: cr. Register October 2021 No. 790, eff. 10/1/2022This section is created eff. 10-1-22 by CR 20-047.