Community Grievance Decision Digest

DRASTIC TREATMENT PROCEDURES, RIGHT TO REFUSE

THE LAW:

Each patient shall..."Have a right not to be subjected to treatment procedures such as psychosurgery, or other drastic treatment procedures without the express and informed consent of the patient after consultation with his or her counsel and legal guardian if any.  Express and informed consent of the patient after consultation with the patient's counsel and legal guardian, if any, is required for the use of electroconvulsive treatment."

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

"`Drastic treatment procedure' means an extraordinary or last resort treatment method which places the patient at serious risk for permanent psychological or physical injury, including psychosurgery, convulsive therapy other than electroconvulsive therapy, and behavior modification using painful stimuli."

 HFS 94.02(7), Wis. Admin. Code [Emphasis added.]

"(1) Drastic treatment procedures may only be used in an inpatient treatment facility or a center for the developmentally disabled as defined in s. 51.01(3), Stats.  No patient may be subjected to drastic treatment procedures except as specified under s. 51.61(1)(k), Stats., and this section.

(2) The patient shall be informed that he or she has a right to consult with legal counsel, legal guardian, if any, and independent specialists prior to giving informed consent for drastic treatment procedures.

(3) The treatment facility shall notify the program director prior to the planned use of drastic treatment procedures on county department patients.

(4) Each county department shall report monthly to the department the type and number of drastic treatment procedures used on county department patients."

HFS 94.12, Wis. Admin. Code [Emphasis added.]

"(1) No patient may be administered electroconvulsive therapy except as specified under s. 51.61(1)(k), Stats., and this section.

(2) The patient shall be informed that he or she has a right to consult with legal counsel, legal guardian, if any, and independent specialists prior to giving informed consent for electroconvulsive therapy.

(3) A treatment facility shall notify the program director prior to the planned use of electroconvulsive therapy on a county department patient.

(4) Electroconvulsive therapy may only be administered under the direct supervision of a physician."

HFS 94.11, Wis. Admin. Code [Emphasis added.]

"An informed consent document is not valid unless the subject patient who has signed it is competent, that is, is substantially able to understand all significant information which has been explained in easily understandable language, or the consent form has been signed by the legal guardian of an incompetent patient or the parent of a minor, except that the patient's informed consent is always required for the patient's participation in experimental research, subjection to drastic treatment procedures or receipt of electroconvulsive therapy."

HFS 92.03(2), Wis. Admin. Code [Emphasis added.]

NOTE: See also Research, Experimental - Consent Required

DECISIONS:

[None at this time.]

Last Updated: November 07, 2006