Wis. Admin. Code Department of Corrections § DOC 383.04 - General standards for use of psychotropic medications
Current through November 29, 2021
(1) ORDER AND
PURPOSE. Psychotropic medications may be administered to youth only upon the
written order of a physician or APNP and only for an appropriate therapeutic
purpose, including alleviating psychiatric disorders or enhancing the coping
capacity of the youth. Medication may not be administered for the purpose of
punishing the youth, producing docility or as a substitute for counseling and
treatment.
(2) PRESCRIPTION. In
prescribing psychotropic medication, the physician or APNP shall do all of the
following:
(a) Review the youth's medical
history and appropriate physical and laboratory examinations before prescribing
medication, and document the behaviors, symptoms and diagnosis, if known, which
the medication is to treat or modify.
(b) Prescribe the lowest effective dose of a
clinically indicated medication.
(c) Use caution in prescribing drugs known to
produce psychological or physiological dependency, or to have significant
potential for abuse.
(d) Indicate
in the medical record a specific stop date.
(e) Specify limited amounts and limited
refills, if any, for prescriptions.
(f) Reduce or withdraw medication as soon as
clinically indicated.
(3) ONGOING EVALUATION.
(a) The physician or APNP shall review and
evaluate the appropriateness and need for psychotropic medications, the need
for continuation of treatment, and possible side effects for each youth. All
reviews shall be according to established professional standards for the
administration of psychotropic medications.
(b) When treatment is voluntary, a review
shall be completed, as often as professional practice requires, but at least
once every 180 days.
(c) When
treatment is involuntary, a review shall be completed, as often as professional
practice requires, but at least every 30 days.
(4) CONSENT FOR PSYCHOTROPIC MEDICATIONS.
(a) A physician or APNP shall obtain written
consent from the following persons before administering psychotropic
medications to a youth:
1. The parent with
legal custody or youth's guardian if the youth is less than 14 years of
age.
2. The youth and the parent
with legal custody or the youth's guardian if the youth is at least 14 years of
age, but less than 18 years of age.
3. The youth, if the youth is 18 years of age
or older.
(b) A consent
to administer psychotropic mediations is valid for one year. Renewal requires
obtaining another written consent from the youth, a parent with legal custody
or a guardian as under par.
(a) to continue
administering the medication.
(c)
If a parent with legal custody or guardian unreasonably refuses to give
permission, cannot be located to give a consent, or no parent has legal
custody, the department may petition the court for permission under s.
938.505(2) ,
Stats., to administer psychotropic medications to a youth aged at least 14
years, but not yet 18 years of age, who wishes to take the
medication.
(d) If the department
believes a youth at least 14 years, but not yet 18 years of age, needs
psychotropic medication and the youth consents, medication may be administered
temporarily without written consent of the parent or guardian, with the court's
authorization, but not for more than 10 days after the request to the court,
pending the hearing on the petition under par. (c), consistent with s.
938.505(2)
(b) , Stats.
(e) When a prescriber changes an order to a
psychotropic medication not listed on the original consent, written consent of
the appropriate person(s) under par. (a) shall be obtained before administering
the new medication, unless the new medication is in the same pharmacological
therapeutic classification as the previous medication.
(f) For youth who are taking a prescribed
psychotropic medication upon admission to the institution, approval from a
physician or APNP shall be obtained in the form of a written order to continue
the medication while written consent of the parent with legal custody or
guardian is sought. Medication will not be continued for more than 30 days
without consent of the parent or legal guardian, except as provided in par. (d)
or if authorization is granted by the court under par. (c).
Notes
Pursuant to par. (a) 3. consent shall be obtained from a youth aged 18 years or older.
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