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Outpatient Treatment

Applies to: Anyone who is receiving services for mental illness, a developmental disability, or substance abuse on an outpatient basis in the state of Wisconsin, other than from a state-operated facility.

Patients receiving such services have rights under Sec. 51.61, Wisconsin Statutes (exit DHFS; PDF - scroll to page 50), and HFS 94, Wisconsin Administrative Code (exit DHFS; PDF).

Their rights are explained in a brochure entitled Client Rights and the Grievance Procedure for Community Services (PDE-3112) that is given to patients when they begin receiving services.

Each treatment provider also should have a poster (PDE-3126) listing patients’ rights. (See Forms, Publications and Posters.)

NOTE: DRAFT OUTPATIENT CLINIC RULES. The department has drafted administrative rules for outpatient mental health clinics (HFS 35). Public hearings will be held on those rules and public input is appreciated. To see the rules or comment on them go to: https://apps4.dhfs.state.wi.us/admrules/public/Rmo?nRmoId=482 

Any patient, or anyone on behalf of the patient, may file a complaint if they feel the patient’s rights have been violated. Any complaints must be filed with the facility within 45 calendar days of the event involved or the patient becoming aware of the issue.

We recommend you put your complaint in writing, but verbal complaints are also allowed. The Client Rights Specialist (CRS) will put any oral complaint in writing so it is clear. To find out the name of the facility’s or service provider's CRS, contact the facility or service provider directly.

The community grievance procedure (PDF, 7 KB) has a multi-level process which depends on who is paying for the patient’s services. If the services are through the county or through a county-contracted or approved provider, the county has a role in the grievance process.

Service providers that do not have a grievance procedure or that need to update their process may use the Model Grievance Procedure and adapt it to their needs.

All community grievance procedures must provide for an appeal to the State Grievance Examiner (SGE) in the department’s Client Rights Office. The SGE issues a Level III grievance decision.

If either party to the complaint is not happy with the results, they can appeal to Level IV of the process – which is the Administrator of the department’s Division of Mental Health and Substance Abuse Services.

The rules of the community grievance procedure are set forth in Subchapter III of HFS 94, Wisconsin Administrative Code (exit DHFS; PDF).

Complaints of rights violations may also be taken directly to court under Sec. 51.61(7), Wisconsin Statutes (exit DHFS; PDF - scroll to page 54).

The use of the grievance procedure is not required before going to court, but a grievance can be dismissed at the stage it is being considered once the matter is taken to court.

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Last Updated: October 19, 2007

 

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Wisconsin Department of Health and Family Services
Protecting and promoting the health and safety of the people of Wisconsin