Section 75.13. Outpatient treatment service.

 

(1)   Service description. An outpatient treatment service is a non-residential treatment service totaling less than 12 hours of counseling per patient per week, which provides a variety of evaluation, diagnostic, crisis and treatment services relating to substance abuse to ameliorate negative symptoms and restore effective functioning. Services include individual counseling and intervention and may include group therapy and referral to non-substance abuse services that may occur over an extended period.

(2)   Requirements. To receive certification from the department under this chapter, an outpatient treatment service shall comply with all requirements included in s. DHS 75.03 that apply to an outpatient treatment service, as shown in Table 75.03, and, in addition, an outpatient treatment service shall comply with the requirements of this section. If a requirement in this section conflicts with an applicable requirement in s. DHS 75.03 , the requirement in this section shall be followed.

(2m)  If an outpatient treatment service is designated by a board under s. DHS 62.04 (1) as an assessment facility, the outpatient treatment service shall also comply with the requirements under ch. DHS 62 .

(3)   Required personnel.

(a) An outpatient treatment service shall have the following personnel:

1. A director responsible for the overall operation of the service, including the therapeutic design and delivery of services.

2. A physician available to provide medical supervision and clinical consultation as either an employee of the service or through a written agreement.

3. A substance abuse counselor available during hours of operation.

4. A mental health professional available either as an employee of the service or through a written agreement to provide joint and concurrent services for the treatment of dually diagnosed patients.

5. A clinical supervisor to provide ongoing clinical supervision of the counseling staff, or a person outside the agency who is a clinical supervisor and who by a written agreement will provide ongoing clinical supervision of the counseling staff.

(b) A clinical supervisor who meets the requirements of a substance abuse counselor may provide direct counseling services in addition to his or her supervisory responsibilities.

(c) A trained staff member designated by the director to be responsible for the operation of the service shall be on the premises at all times the service is in operation. That person may provide direct counseling or other duties in addition to being in charge of the service.

(4)   Clinical supervision.

(a) An outpatient treatment service shall provide for ongoing clinical supervision of the counseling staff. Ongoing clinical supervision shall be provided as required in s. SPS 162.01 .

(b) A clinical supervisor shall provide supervision and performance evaluation of substance abuse counselors in the areas identified in s. SPS 162.01 (5) .

(5)   Service operations.

(a) A service shall work with patients who need health care services but do not have access to them to help them gain access to those services.

(b) A service shall complete a patient's treatment plan within two visits after admission.

(c) A service shall arrange for additional psychological tests for a patient as needed.

(d) Service staff shall review, evaluate and revise a patient's treatment plan, as needed, in consultation with the clinical supervisor, based on ongoing assessment of the patient. If a patient is dually diagnosed, service staff shall review, evaluate and revise the patient's treatment plan, as needed, in consultation also with a mental health professional.

(e) The service medical director or licensed clinical psychologist shall establish the patient's diagnosis or review and concur with the diagnosis made by the patient's primary physician, and shall review the recommended level of care needed, the assessment report and the treatment plan. The medical director or licensed clinical psychologist shall sign and date a statement that these tasks have been carried out and shall insert the statement in the patient's case record.

(6)   Admission. Admission to an outpatient treatment service is appropriate only if one of the following conditions is met:

(a) The person to be admitted is determined appropriate for placement in this level of care by the application of approved placement criteria.

(b) The person to be admitted is determined appropriate for this level of care through the alternative placement recommendations of WI-UPC or other approved placement criteria.

History: Cr. Register, July, 2000, No. 535 , eff. 8-1-00; CR 06-035 : cr. (2m), Register November 2006 No. 611 , eff. 12-1-06; correction in (2m) made under s. 13.92 (4) (b) 7. , Stats., Register November 2008 No. 635 ; CR 09-109 : am. (4) Register May 2010 No. 653 , eff. 6-1-10; correction in (4) (a), (b) made under s. 13.92 (4) (b) 7. , Stats., Register November 2011 No. 671 .

Note

Section SPS 162.01 (1) states that a clinical supervisor shall provide a minimum of: Microsoft Windows NT 6.1.7601 Service Pack 1 1. Two hours of clinical supervision for every 40 hours of work performed by a substance abuse counselor-in-training. Microsoft Windows NT 6.1.7601 Service Pack 1 2. Two hours of clinical supervision for every 40 hours of counseling provided by a substance abuse counselor. Microsoft Windows NT 6.1.7601 Service Pack 1 3. One hour of clinical supervision for every 40 hours of counseling provided by a clinical substance abuse counselor. Microsoft Windows NT 6.1.7601 Service Pack 1 4. One in person meeting each calendar month with a substance abuse counselor-in-training, substance abuse counselor, or clinical substance abuse counselor. This meeting may fulfill a part of the requirements above. Microsoft Windows NT 6.1.7601 Service Pack 1 Section SPS 162.01 (5) states that the goals of clinical supervision are to provide the opportunity to develop competency in the transdisciplinary foundations, practice dimensions and care functions, provide a context for professional growth and development and ensure a continuance of quality patient care. Microsoft Windows NT 6.1.7601 Service Pack 1