Wis. Admin. Code Department of Health Services DHS 75.14 - Prevention service
(1)
SERVICE
DESCRIPTION. A prevention service makes use of universal, selective, and
indicated prevention services as defined by s.
DHS
75.14(3). Prevention services may be
focused on reducing behaviors and actions that increase the risk of misusing
substances or being affected by another person's substance use.
(2)
APPLICABILITY. This section
shall apply to prevention services when required by contract with the
department, or when a prevention service requests certification.
(3)
DEFINITIONS. In this
section:
(a) "Prevention" has the meaning
given in s.
SPS
160.02(21).
(b) "Prevention domain" refers to content
areas that professionals working in substance use prevention shall be
knowledgeable in. The prevention domains include any of the following:
1. Planning and evaluation.
2. Prevention education and service
delivery.
3.
Communication.
4. Community
organization.
5. Public policy and
environmental change.
6.
Professional growth and responsibility, including ethics.
(c) "Prevention service" means the organized
application of strategies and interventions that are provided to reduce the
overall harms and burden of substance use for an identified community or
group.
(d) "Prevention strategy"
means activities targeted to a specific population or the larger community that
are designed to be implemented before the onset of problems as a means to
prevent substance use or its detrimental effects from occurring.
(e) "Target population" means the identified
community or group that a prevention strategy is aimed to impact.
(f) "Universal, selective, and indicated
prevention strategy" means different levels of risk that are addressed through
community-based substance use prevention efforts, where universal prevention
efforts focus on general audiences who have not been identified based on
substance use-related risk, selective prevention efforts focus on audiences
with known risk factors for a substance use-related problem, and indicated
prevention efforts focus on audiences who are already experiencing a substance
use-related problem.
(4)
GENERAL REQUIREMENTS.
(a)
Governing authority or entity owner. The
governing authority or entity owner of a service shall do all of the following:
1. Designate a member or representative of
the governing body that is legally responsible for the operation of a service
that has the authority to conduct the policy, actions, and affairs of the
service, to complete the entity owner background check and to be the entity
owner responsible for a service.
2.
Appoint a service director whose qualifications, authority, and duties are
defined in writing.
3. Establish
written policies and procedures for the operation of the service and exercise
general direction over the service, to ensure the following:
a. Compliance with local, state and federal
laws.
b. That no person will be
denied service or discriminated against on the basis of sex, race, color,
creed, sexual orientation, disability, or age, in accordance with 45 CFR part
92 and Title VI of the Civil Rights Act of 1964, as amended,
42 USC.
2000d, Title XI of the Education Amendments
of 1972, 20 USC
1681-1686 and s. 504 of the
Rehabilitation Act of 1973, as amended,
29 USC
794, and the Americans with Disabilities Act
of 1990, as amended, 42 USC 12101-12213.
(b)
Caregiver background
check. At the time of hire, employment, or contract, and every
4 years after, the service shall conduct and document a caregiver background
check following the procedures in s.
50.065, Stats., and ch. DHS 12.
A service shall not employ or contract with a person who has been convicted of
a crime or offense, or has a governmental finding of misconduct, found in s.
50.065, Stats., and ch. DHS 12,
Appendix A, unless the person has been approved under the department's
rehabilitation process as defined in ch. DHS 12.
(c)
Personnel
records. Employee records shall be available upon request at
the service for review by the department. A separate record for each employee
shall be maintained, kept current, and at a minimum, include:
1. A written job description including
duties, responsibilities and qualifications required for the
employee.
2. Beginning date of
employment.
3. Qualifications based
on education or experience.
4. A
completed caregiver background check following procedures under s.
50.065, Stats., and ch. DHS
12.
5. A copy of a signed statement
regarding confidentiality of client information.
6. Documentation of any required
training.
7. A copy of any required
licenses or certifications.
(d)
Confidentiality. A service shall have written
policies, procedures, and staff training to ensure compliance with
confidentiality provisions of 42 CFR part 2, 45 CFR parts 164 and 170, s.
51.30, Stats., and ch. DHS 92.
Each staff member shall sign a statement acknowledging responsibility to
maintain confidentiality of personal information about persons served.
(5)
REQUIRED
PERSONNEL.
(a)
Prevention professional. A professional employed
by the service shall be knowledgeable and skilled in areas of substance use
prevention, including prevention domains, prevention services, and program
implementation.
(b)
Training. Staff shall receive ongoing training to
improve skills and knowledge in the prevention domains and in the
implementation of prevention services.
(6)
OPERATION OF THE PREVENTION
SERVICE.
(a)
General. A prevention service shall utilize
recognized best practices for evidence-based substance use
prevention.
(b)
Strategies employed by the prevention service.
1. 'Comprehensive approach.' A prevention
service shall employ a comprehensive approach that targets universal,
selective, and indicated populations, and uses strategies which seek to prevent
substance use and its effects.
2.
'Information dissemination.' The prevention service shall provide awareness and
knowledge of the nature and extent of the identified problem and generate
knowledge and awareness of available prevention services via one-way
communication with the public. Examples of methods that may be used to carry
out this strategy include the following:
a.
Operation of an information clearinghouse.
b. Development and distribution of a resource
directory.
c. Media
campaigns.
d. Development and
distribution of brochures.
e. Radio
and TV public service announcements.
f. Speaking engagements.
g. Participation in health fairs and other
health promotion activities.
3. 'Education.' The prevention service shall
provide two-way communication between staff and a client or clients, that is
directed towards affecting critical life and social skills, including
decision-making, refusal skills, critical analysis, and systematic judgment
abilities. Examples of activities that may be conducted and methods used in
carrying out this strategy include the following:
a. Classroom or small group
sessions.
b. Parenting and family
management classes.
c. Peer leader
or helper programs.
d. Education
programs for youth groups.
e.
Groups for children with family members who use substances.
4. 'Alternative activities.' The
prevention service shall provide activities that assist in building resiliency
and exclude alcohol, tobacco, and other drug use to targeted populations. The
assumption is that constructive and healthy activities offset the attraction
to, or otherwise meet the needs that may be fulfilled by, alcohol, tobacco, and
other drugs. Alternative activities also provide a means of character-building
and may promote healthy relationships between youth and adults, in that
participants may internalize the values and attitudes of the individuals
involved in establishing the prevention services objectives. Examples of
activities that may be promoted or conducted under this strategy include the
following:
a. Drug-free dances and
parties.
b. Youth or adult
leadership activities.
c.
After-school activities such as participation in athletic activities, music
lessons, art clubs or the school newspaper.
d. Community drop-in centers.
e. Community service activities.
5. 'Problem identification and
stand-alone referral.' The prevention service shall implement methods to
identify individuals who have demonstrated at-risk behavior, such as illegal or
age-inappropriate use of tobacco or alcohol, or first use of illicit drugs, and
determine if the individual's behavior can be reversed through education. This
strategy does not include activities designed to determine if a person is in
need of treatment. Examples of activities that may be conducted and methods
used in carrying out this strategy include the following:
a. Employee assistance programs.
b. Student assistance programs.
c. Educational programs for individuals
charged with driving while under the influence or driving while
intoxicated.
6.
'Environmental.' The prevention service shall establish community standards,
codes, and attitudes, aimed at reducing the prevalence of at-risk behavior
among the general population. Examples of methods that may be used in carrying
out this strategy include the following:
a.
Promoting the establishment and review of policies for schools, government, and
civic groups related to the use of alcohol, tobacco, and drugs.
b. Providing technical assistance to
communities to maximize local enforcement procedures governing availability and
distribution of alcohol, tobacco, and other drugs.
c. Reduce youth alcohol, tobacco, and drug
exposure by modifying alcohol and tobacco advertising practices.
d. Supporting local enforcement procedures to
limit violent behavior.
e.
Establishing policies that create opportunities for youth to become involved in
their communities.
7.
'Community-based process.' The prevention service shall implement processes
that enhance the ability of the community to more effectively provide
prevention services for behaviors that lead to substance use. Activities under
this strategy include organizing, planning, enhancing the efficiency and
effectiveness of services implementation, interagency collaboration, coalition
building and networking. Examples of activities that may be conducted and
methods used in carrying out this strategy include the following:
a. Community and volunteer training, such as
neighborhood action training and training of key people in the
system.
b. Systematic planning in
the above prevention strategy areas.
c. Multi-agency coordination and
collaboration.
d. Facilitating
access to services and funding.
e.
Active participation in a community prevention coalition.
(c)
Goals and
objectives. A prevention service shall have written operational
goals and objectives that specify the strategies by which they will be achieved
and the target population served.
(d)
Documentation of
coordination. A prevention service shall provide written
documentation of coordination with other human service agencies, organizations
or services that share similar goals.
(e)
Records. A
prevention service shall maintain records on the number of individuals served
by implementation of each prevention strategy and retain records necessary for
meeting certification and funding requirements.
(7) PREVENTION SERVICE EVALUATION.
(a)
Prevention evaluation
outcomes. A prevention service shall have an evaluation
process that measures the outcomes of the services provided.
(b)
Prevention evaluation by
consumers. A prevention service shall evaluate the views of
consumers about the services they are provided and shall adjust goals and
objectives accordingly.
(c)
Prevention service written policy. A prevention
service shall have a written policy and a defined process to provide
individuals with the opportunity to express opinions regarding ongoing
services, staff, and the methods by which individual prevention activities are
offered.
Notes
This section is created eff. 10-1-22 by CR 20-047.
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