Section 63.11. Required program components.

 

(1)   Services. A CSP shall provide or make arrangements for the provision of the services specified in this section.

(2)   Treatment. The CSP shall provide or make arrangements for provision of treatment services, which shall include:

(a) Crisis intervention services, including 24-hour telephone service, short-term emergency hospitalization and in-home or in-community emergency care by a CSP professional who has direct accessibility to the clinical coordinator or designated qualified staff member for consultation and assistance;

(b) Symptom management or supportive psychotherapy by a CSP professional, including:

1. Ongoing assessment of the client's mental illness symptoms and the client's response to treatment;

2. Symptom education to enable the client to identify his or her mental illness symptoms;

3. Teaching of behavioral symptom management techniques to alleviate and manage symptoms not reduced with medication; and

4. Promotion of personal growth and development by assisting the client to adapt to and cope with internal and external stresses;

(c) Medication prescription, administration, monitoring and documentation, as follows:

1. A psychiatrist or physician shall:

a. Assess the client's mental illness symptoms and behavior and prescribe appropriate medication;

b. Regularly review and document the client's mental illness symptoms and behavior response to the medication; and

c. Monitor, treat and document any medication side effects;

2. A registered nurse may administer medication from a multidose container or by injection at the direction of a psychiatrist or another physician;

3. Staff may administer only single-unit oral medication doses that have been dispensed and labeled by a psychiatrist, another physician, a licensed pharmacist or a registered nurse at the direction of a psychiatrist or another physician;

4. Staff shall assess and document the client's mental illness symptoms and behavior in response to medication and shall monitor for psychotropic medication side effects; and

5. Registered nurses shall report to the program psychiatrist and clinical coordinator and document in the chart adverse drug reactions and potential medication conflicts when drugs are prescribed by more than one physician; and

(d) Psychiatric and psychological services, including:

1. Psychiatric evaluation by a psychiatrist; and

2. Psychological evaluation by a clinical psychologist; and

(e) Family, individual or group psychotherapy by the clinical coordinator or designated staff member meeting qualifications under s. DHS 63.06 (2) (c) .

(3)   Rehabilitation. The CSP shall provide or make arrangements for provision of rehabilitation services, which shall include:

(a) Employment-related services provided in community-based settings to assess the effect of the client's mental illness on employment and to develop an ongoing employment rehabilitation plan to enable the client to get and keep a job. Employment-related services include:

1. Individualized initial and ongoing assessment by a CSP professional, including a thorough work and academic history and on-site work assessments in community-based, structured jobs;

2. Identification of behaviors that interfere with the client's work performance and development of interventions to alleviate the problem behaviors by a CSP professional;

3. Individual vocational supportive counseling by a CSP professional to enable the client to identify and cope with symptoms of mental illness that affect his or her work;

4. Work-related supportive services, such as assistance with grooming and personal hygiene, securing appropriate clothing, wake-up calls, transportation, on-the-job support and crisis assistance; and

5. On-the-job performance assessment and evaluation by a CSP professional;

(b) Social and recreational skill training, including supervised teaching activities and experiences provided individually or in small groups to:

1. Improve communication skills;

2. Facilitate appropriate interpersonal behavior; or

3. Familiarize clients with available social and recreational opportunities and increase their use of these opportunities; and

(c) Activities of daily living services provided in community-based settings including individualized support, problem solving, training and supervision to assist the client to gain or utilize the skills required to:

1. Carry out personal hygiene and grooming tasks;

2. Carry out household activities, including housecleaning, cooking, grocery shopping and laundry;

3. Develop or improve money management skills; and

4. Use available transportation.

(4)   Support services. The CSP shall provide or make arrangements for provision of support services, which shall include case management under s. DHS 63.12 and individualized support, problem solving, training and supervision to help the client obtain:

(a) Services to meet physical health or dental health needs;

(b) Needed legal services;

(c) Needed transportation services;

(d) Financial support such as supplemental security income, social security disability insurance and general relief and money management services; and

(e) Living accommodations, including locating, financing and maintaining safe and normal living arrangements and enabling the client to relate to his or her landlord and neighbors in an acceptable manner.

History: Cr. Register, April, 1989, No. 400 , eff. 5-1-89.