Section 63.06. Personnel.

 

(1)   Policies.

(a) A CSP shall have written personnel policies to ensure that employment practices do not discriminate against any employee or applicant for employment on the basis of age, race, religion, color, sexual orientation, marital status, arrest and conviction record, ancestry, creed, national origin, handicap, sex, physical condition or developmental disability.

(b) A CSP shall maintain written documentation of employees' qualifications and shall make that information available for inspection by clients and by the department.

(2)   Required staff. A CSP shall employ:

(a) A director, who shall have overall responsibility for the program. The director shall meet the qualifications for any of the program staff listed under sub. (4) (a) 1. to 8. ;

(b) A psychiatrist on a full-time, part-time or consulting basis to provide necessary psychiatric services. The psychiatrist shall meet the qualifications specified under sub. (4) (a) 2. ; and

(c) A clinical coordinator who shall have overall responsibility for and provide direct supervision of the CSP's client treatment services and supervision of CSP clinical staff. The clinical coordinator shall be a psychiatrist or psychologist or have a master's degree in social work, clinical psychology or psychiatric mental health nursing or have met equivalent requirements. The coordinator shall have either 3,000 hours of supervised clinical experience in a practice where the majority of clients are adults with chronic mental illness or 1,500 hours of supervised clinical experience in a CSP.

(3)   Staffing ratios. The client-to-staff ratio may not exceed 20 clients to one full-time equivalent staff person, except that the department may permit, in accordance with a request for a waiver under s. DHS 63.05 , that the ratio may not exceed 25 clients to one full time equivalent staff person. Only staff who meet the qualifications under subs. (2) and (4) (a) may be counted in the staff-to-client ratio.

(4)   Qualifications.

(a) CSP staff shall have the following qualifications:

1. A CSP professional shall have a bachelor's degree in a behavioral science or a related field with 1,000 hours of supervised post-degree clinical experience with chronically mentally ill persons, or a bachelor's degree in a field other than behavioral sciences with 2,000 hours of supervised postdegree clinical experience with persons with chronic mental illness;

2. A psychiatrist shall be a physician licensed under ch. 448 , Stats. , to practice medicine and surgery and shall have satisfactorily completed 3 years' residency training in psychiatry in a program approved by the American medical association;

3. A clinical psychologist shall be licensed under ch. 455 , Stats. ;

4. A clinical social worker shall have a master's degree from a graduate school of social work accredited by the council on social work education;

5. A registered nurse shall hold a current certificate of registration under ch. 441 , Stats. , and shall have experience or education related to the responsibilities of his or her position;

6. Occupational therapists and recreational therapists shall have bachelor's degrees in their respective professions;

7. A rehabilitation counselor shall be certified or eligible for certification by the commission on rehabilitation counselor certification;

8. A vocational counselor shall possess or be eligible for a provisional school counselor certificate and shall have a master's degree in counseling and guidance; and

9. A mental health technician shall be a paraprofessional who is employed on the basis of personal aptitude. A mental health technician shall have a suitable period of orientation and in-service training and shall work under the supervision of a clinical coordinator under sub. (2) (c) .

(b) When volunteers are used, they shall be supervised by professional staff under par. (a) 1. to 8. The CSP shall have written procedures for the selection, orientation and inservice training of volunteers.

(5)   Clinical supervision.

(a) Each CSP shall develop and implement a written policy for clinical supervision of all staff who provide treatment, rehabilitation and support services to CSP clients.

(b) Clinical supervision of individual CSP staff shall include direct clinical review, assessment and feedback regarding their delivery of treatment, rehabilitation and support services to individual CSP clients and teaching and monitoring of the application of CSP principles and practices.

(c) Clinical supervision shall be provided by a clinical coordinator meeting the qualifications under s. DHS 63.06 (2) (c) or by staff who meet the qualifications under s. DHS 63.06 (2) (c) and who are designated by the clinical coordinator to provide clinical supervision.

(d) Clinical supervision shall be accomplished by one or more of the following means:

1. Individual, face-to-face sessions with staff to review cases, assess performance and give feedback;

2. Individual, side-by-side sessions in which the supervisor accompanies an individual staff member to meet with individual clients in regularly scheduled sessions or crisis situations and in which the supervisor assesses, teaches and gives feedback regarding the staff member's performance regarding the particular client; or

3. Regular client report or review staff meetings and treatment planning staff meetings to review and assess staff performance and provide staff direction regarding individual cases.

(e) For every 20 clients or every 40 hours of direct service in the CSP, the clinical supervisor shall spend at least 4 hours a week providing supervision.

(f) Clinical supervision provided to individual CSP staff shall be documented in writing.

(6)   Orientation and training.

(a) Each CSP shall develop and implement an orientation and training program which all new staff and regularly scheduled volunteers shall complete. The orientation shall include:

1. Review of the applicable parts of this chapter;

2. Review of CSP policies;

3. Review of job responsibilities specified in the job description;

4. Review of ch. DHS 94 , patient rights; and

5. Review of ch. DHS 92 , confidentiality of treatment records.

(b) Each CSP shall develop and implement a training plan for all staff, including:

1. Use of staff meeting time which is set aside for training;

2. Presentations by community resource staff from other agencies;

3. Attendance at conferences and workshops; and

4. Discussion and presentation of current principles and methods of treatment, rehabilitation and support services for chronically mentally ill persons.

History: Cr. Register, April, 1989, No. 400 , eff. 5-1-89; correction in (6) (a) 4. made under s. 13.93 (2m) (b) 7., Stats., Register December 2004 No. 588 ; corrections in (6) (a) 4. and 5. made under s. 13.92 (4) (b) 7., Stats., Register November 2008 No. 635 .