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ABUSE, FREEDOM FROM

THE LAW:

Each patient shall... "Have a right to a humane psychological and physical environment within the hospital facilities. These facilities shall be designed to afford patients with comfort and safety...”

§ 51.61(1)(m), Wis. Stats. [Emphasis added.]

Each patient shall... “Have the right to be treated with respect and recognition of the patient's dignity and individuality by all employees of the treatment facility or community mental health program and by licensed, certified, registered or permitted providers of health care with whom the patient comes in contact.”

§ 51.61(1)(x),  Wis.  Stats. [Emphasis added.]

COMFORT, SAFETY AND RESPECT.  (a)  Staff shall take reasonable steps to ensure the physical safety of all patients.

(b)  Each patient shall be treated with respect and with recognition of the patient’s dignity by all employees of the service provider and by all licensed, certified, registered or permitted providers of health care with whom the patient comes in contact."

HFS 94.24(2),  Wis.  Admin. Code [Emphasis added.]

DECISIONS

  1. A mother complained that her daughter’s therapist reported sexual abuse to the county social worker.  The therapist learned that a teacher at her daughter’s home school had touched the young woman inappropriately. The therapist reported the allegations to the county social worker.  The county Social Services department then got the police involved.  The police came to the home school to arrest the teacher.  This situation was stressful for both mother and daughter.  The incident met the legal definition of sexual abuse.  Since she was a minor, law mandates the reporting of the allegation.  The therapist’s actions were professional and appropriate.  (Level III Decision in Case No. 03-SGE-02 on 12/26/03.)
  2. The sister/guardian of a woman filed a grievance about the care the woman had received while she was living in her own apartment.  She had been receiving supportive home care services from an independent service provider under a general contract with the county.  The guardian alleged “abuse of a vulnerable adult” because the woman’s apartment was not kept clean by the contractor and was “unlivable due to filth”.   The contract contained no specific requirements, but there was a list of duties for the staff who visited her apartment.  One duty was to clean the apartment weekly. During one particular period, the contractor’s employees did not complete many of the required items and the apartment became very dirty.  Instead, they spent the time providing companionship to the woman. Regardless of her desire for companionship, the employees were responsible for keeping the apartment clean. Whenever possible the caregivers should be making sure the task list is completed while working with the client to model those skills, and to create a social situation where tasks can be completed together and in a way that is therapeutic for her by reinforcing daily living skills. While it did not rise to the level of being “abuse”, the contractor violated her right to a humane environment.  (Level III Decision in Case No. 03-SGE-04 on 6/15/04.)

Last Updated: November 07, 2006