1. (1) General objectives. A CCF shall have the following general objectives:

   1. (a) To provide integrated services and interventions to prevent and stabilize a crisis and reduce symptoms for clients with emergent mental and behavioral health and substance use crisis needs.
   2. (b) To reduce or eliminate the need for unnecessary restrictive and intensive interventions.
   3. (c) To assist in the coordination and linkage of care for the individual to return to the community.
   4. (d) To assist in the coordination and linkage of care when services cannot be provided at a CCF, or a client is not eligible for services.

2. (2) General requirements. A CCF shall do all of the following:

   1. (a) Provide services to involuntary clients under s. 51.15, Stats., in a secure setting.
   2. (b) Provide services to voluntary individuals who walk-in for care or are brought in by law enforcement, emergency medical responders, or county crisis personnel.
   3. (c) Provide clients receiving any service for 24 hours or longer a client room with a bed.
   4. (d) Provide clients with basic needs.
   5. (e) Use standard protocols for monitoring withdrawal from substances, such as alcohol and opioids, and the capability to initiate medications to medically support withdrawal. If withdrawal monitoring supports the need for additional medical care that exceeds the capacity of a CCF, the nursing administrator, treatment director, or their designee shall initiate transfer to a medical facility.
   6. (f) If the client is seeking treatment related to opioid use, a CCF shall provide information about the benefits and effectiveness of medication as treatment for opioid use disorders. If the client is not already receiving medication treatment, a CCF shall provide a referral, along with client consent, to a service that offers medication-assisted treatment for opioid use disorders.

   7. (g)

      1. 1. A facility shall have opioid reversal medication on-site and available to staff to be administered in the event of an opioid overdose.
      2. 2. The opioid reversal medication shall be maintained and unexpired and shall be stored in an accessible location.
      3. 3. Administration of an opioid reversal medication by the service to any individual shall be documented in the clinical record or in a facility incident report.

3. (3) Services provided or coordinated by a CCF.

   1. (a) Initial screening.

      1. 1. An initial screening completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (a) to (j) or (L) to (q) shall be completed for all referrals, including those presenting for voluntary services and involuntary clients who present in accordance with s. 51.15, Stats.

      2. 2. An initial screening must include the following:

         1. a. Determination of need for CCF services.
         2. b. Risk for suicide or harm to self.
         3. c. Risk for violence or harm to others.
         4. d. Risk related to overdose, acute intoxication, and withdrawal.
         5. e. Need for urgent medical care.
         6. f. Medication information from the PDMP database, if applicable.
      3. 3. Screening completed under this subsection may be combined with an assessment under par. (b).
      4. 4. Screening may determine need for alternative or additional services which could include services provided at a CCF, linkage to outpatient resources, or other facility-based or inpatient services requiring a transfer of care.
      5. 5. Information collected and documented by county crisis personnel who have assessed a client admitted under the custody of s. 51.15, Stats., may be used for screening purposes.

   2. (b) Assessment.

      1. 1. Clients determined in need of and eligible for services during screening under par. (a) shall receive all of the following:

         1. a. A nursing assessment completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (c) to (i).
         2. b. A behavioral health assessment completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (a) to (j), (L) to (p), or (q) 4..
         3. c. A risk assessment completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (a) to (j), (L) to (p), or (q) 4.

      2. 2. The following assessments may be performed based on client needs identified during screening under par. (a):

         1. a. A substance use assessment completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (a) to (j) or (L) to (q).
         2. b. A cognitive assessment completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (a) to (j), (L) to (p), or (q) 4.
      3. 3. A psychosocial assessment completed by personnel possessing at least one of the qualifications listed in s. DHS 31.08 (1) (L) to (o) or (q) 4. for clients admitted for 24 hours or longer.
      4. 4. Assessments shall include recommendations for care.

   3. (c) Screening and assessment tools and methods. Assessments and screenings shall be completed using valid screening and assessment tools and may include information gathered through the following means:

      1. 1. Evaluation and observation of the client.
      2. 2. Direct client interviews.
      3. 3. Through collateral information.

   4. (d) Reassessment. Reassessments of one or more of the assessments identified in par. (b) shall be completed as clinically necessary, or if any of the following apply:

      1. 1. Legal status change.
      2. 2. Significant changes in risk factors or symptoms.

   5. (e) Required services. A CCF shall provide any of the following services to a client, based on the client’s needs:

      1. 1. De-escalation.
      2. 2. Safety planning.
      3. 3. Crisis planning.
      4. 4. Medication management.
      5. 5. Crisis counseling.
      6. 6. Stabilization.
      7. 7. Care coordination.
      8. 8. Treatment of minor physical health concerns.
      9. 9. Follow-up or coordination with external providers for follow-up.
      10. 10. Withdrawal abatement.

   6. (f) Additional services. A CCF may provide the following services to a client, based on the client’s needs:

      1. 1. Peer support services.
      2. 2. Individual and family psychotherapy.
      3. 3. Therapeutic or psychoeducational group counseling.
      4. 4. Additional services targeted at the alleviation of crisis symptoms.

   7. (g) Discharge planning. Discharge planning shall be provided to all clients and meet the following requirements:

      1. 1. A discharge plan shall be developed with the client, to the extent possible.
      2. 2. Discharge planning shall include care coordination efforts, to the extent possible.
      3. 3. A written discharge summary shall be documented in writing, include items identified in s. DHS 31.13 (2), and be provided to the client.

   8. (h) Delivery of services.

      1. 1. All medical and clinical services under this chapter shall be provided by appropriately credentialed or licensed staff operating with their scope of practice.
      2. 2. Services shall be delivered in a manner that allows clients to be informed of and participate in their treatment and care.

History

History: EmR2507: emerg. cr., eff. 6-16-25; CR 25-051: cr. Register February 2026 No. 842, eff. 3-1-26; correction in (2) (e), (3) (a) 1., 3., 5., (b) 1. (intro.), 2. (intro.), (3) (d) (intro.), (g) 3. made under s. 35.17, Stats., Register February 2026 No. 842; (3) (d) a., b. renum. to (3) (d) 1., 2. under s. 13.92 (4) (b) 1., Stats., Register March 2026 No. 843.