Friday, April 18, 2014

Behavioral Health Services - Crisis Services

Racine County Crisis Services provides a single point of contact for access to Racine County Mental Health and Addiction (AODA) treatment information and services. Crisis Services is comprised of the Crisis Services unit, Mental Health Mobile Response, and the S.A.I.L. Program (Stabilization, Assessment, Information and Linkage).

Phone Calls:  9:00 a.m. - 5:00 p.m. Monday-Friday
Phone: 262-638-6741
Fax: 262-664-4087

Walk-ins: 9:00 a.m. - 4:30 p.m. Monday-Friday

Click on a tab below to review information about each topic.

Crisis Services Unit

The Crisis Services Unit responds to questions from callers who are experiencing a mental health crisis or who are seeking information about services or other behavioral health issues. Staff members provide supportive listening and direct callers to the most appropriate service or resource agency. Crisis staff also works with consumers to determine whether their concerns warrant follow-up. Crisis Services provides a single-point of contact for Racine County funded mental health and addiction services.

Mental Health Mobile Response

The emergency Mental Health Mobile Response staff responds to individuals experiencing a mental health crisis. Service delivery is primarily at local hospitals. Individuals are assessed and a determination is made regarding the least restrictive level of care required to maintain their safety. Mobile Response develops individual Response Plans, identifies potential community or publicly funded resources and provides follow-up with individuals.

S.A.I.L. Program

The S.A.I.L. Program (Stabilization, Assessment, Information and Linkage) is 12- bed residential facility that provides 24 hour assistance to residents of Racine County who are experiencing a psychiatric crisis. The S.A.I.L. Program provides short-term mental health stabilization and is available only for individuals who are not under the influence of alcohol or illegal drugs. People admitted to the SAIL Program are provided with structured supervision and activities. A multidisciplinary team approach is used to develop an Individual Emergency Response Plan and coordinate an array of services to promote stability. The average length of stay is between three and five days.

Consumers may access the SAIL Program by calling 262-638-6741.

Court Intervention Services

At times, an adult may need court intervention in order to receive needed services.  This occurs most often when the adult with the disability does not see the need for treatment, while family and friends are concerned. Wisconsin State Law provides for civil commitment of a person.  This procedure allows a court to order that the person with the disability take medications, attend counseling, or even enter a psychiatric inpatient center.

The required criteria to determine the need for commitment is that a person must be:

  • Mentally ill or developmentally disabled,
  • “A proper subject for treatment”, and
  • Dangerous to themselves or others.

Dangerous to themselves includes self neglect (not providing themselves with proper shelter, medical care, nourishment, etc), or impaired judgment. This may also include evidence of recent threats or attempts at suicide or serious bodily harm.

A “proper subject for treatment” means that the person can be proven to be treatable—that the symptoms could be improved or controlled.

Civil commitments can be started in three ways:

  • By a law enforcement officer,
  • Three adults, at least one of which has first knowledge of the person to be committed,
  • Or by a medical professional in a psychiatric hospital where the person is already receiving voluntary treatment. 

Three-Party Commitment Petition

If a person is willing to seek help on a voluntary basis, there is no need to pursue a Three-Party Petition.  You may contact Information & Assistance at 638-6741 to inquire about treatment options or, if the person seeking services is insured, call the phone number on the back of their insurance card for treatment referrals. 

Since Wisconsin is a least restrictive state, the law governing our mental health system (Chapter 51) emphasizes protecting individual rights and liberties.  The laws favor voluntary over involuntary treatment.  However, there are three ways in which to force involuntary treatment in the State of Wisconsin:

  • Emergency Detention
  • Director’s Petition (also known as Director’s Hold)
  • Three-Party Petition

Emergency Detentions - (51.15, WI STATS)

These are initiated when an individual is presently a danger to themselves or others.  The detention is obtained by contacting law enforcement.  

Director’s Petitions (or “Director’s Hold”) - (51.10(5)(c) and 51.15 (10), WI STATS)

These are used only by psychiatrists when a person who has been seeking services voluntarily and then decides that they want to leave the psychiatric unit and the psychiatrist does not believe that is appropriate for the person.  The psychiatrist must be able to state that the person will be dangerous (to self and/or others) if allowed to leave the hospital.

Three-Party Petitions - (51.20 (1), WI STATS)

These actions occur if there are recent dangerous conducts/behaviors present AND one or more of the following disabilities exists:  mental illness, drug dependency and/or developmental disabilities.

To substantiate mental illness, drug dependency or developmental disability, you will need to provide information on the current physician, diagnoses, medications and dates of last treatment.  The person also must be a proper subject for treatment.

Dangerous conduct/behavior is defined as specific acts, attempts or threats which constitute a substantial risk of physical harm to self and/or others, according to the following standards:

  1. Danger to oneself (for ex., suicidal thoughts/actions)
  2. Danger to others (for ex., homicidal thoughts/actions)
  3. Impaired judgment in that the person is not able to make decisions that are appropriate and potentially dangerous (for ex., believing that they possess super powers and that they can fly if they jump off a building)
  4. Behavior indicating the person can’t take care of themselves or meet their own basic needs(for ex., person refuses to eat or does not dress appropriately for the weather conditions) so that substantial probability exists that death, serious physical injury, debilitation or disease will imminently ensue unless the person receives prompt adequate treatment.
  5. Fifth Standard – This standard is different from the other involuntary civil commitment statutes because it requires a finding that the person suffering from a mental illness is in need of treatment AND there must be a finding that the person is incompetent to refuse medication.  This is why the Fifth Standard is also referred to as the “need for treatment” alternative to the other four standards.  The Fifth Standard also does not require the finding of dangerousness to be immediate or overt, as it is with the first four standards.

Three-Party Petitions for Alcoholism also have a different standard.  A petition may be filed if the person’s dependence on alcohol substantially impairs or endangers the person’s health AND their social or economic functioning is substantially disrupted.  Please remember that simply being an alcoholic is not automatic grounds for a petition.  There are many people who are alcoholics and still able to function well enough in their lives.  In this context, substantially means a severe degree of impairment, endangerment or disruption.

This process may take time.  Depending upon several factors and the evidence presented, some petitions could take weeks to bring to court.  During this period of time, an emergency detention can be started, if necessary.  If the emergency detention process is started, the three-party petition will be put “on hold.” 

If you believe that you have the necessary information to meet the standards for a three-party petition (as outlined above), you may contact the Information & Assistance unit of the Racine County Human Services Department at 262-638-6741to start the referral process.  Please understand that, in addition to meeting the standards, the following criteria must all be met: 

  • There are three (3) people, including yourself, with at least one person with first-hand knowledge of the person’s situation
  • All three persons are willing to sign a petition
  • All three persons are willing to testify in court

Please review the Frequently Asked Questions section of this website for more information.

Other Services

Inpatient Treatment At times, a person’s mental illness will become so severe that the person may become a danger to themselves or other people. At that point, the person may be hospitalized in a local psychiatric unit of a hospital or at a state run institution. Racine County staff will assist in making the determination of the need for inpatient care, and will fund those short stays when there is no insurance coverage.

Medication
In some limited circumstances, psychotropic medications may be purchased by the Human Services Department for persons with a diagnosed severe and persistent mental illness. The individual must not have private insurance, Medicaid coverage, or personal funds available to purchase the required psychotropic medication. 

Counseling
The Human Services Department provides funding for persons to participate in mental health and AODA counseling. This funding is only for persons who have no other form of insurance and have alcohol and drug abuse/dependency issues or who have already been diagnosed with a significant and persistent mental illness.

Community Support Program
A Community Support Program or CSP is a coordinated care and treatment program which provides a range of treatment, rehabilitation, and support services through an identified treatment program and staff to ensure ongoing therapeutic involvement, individualized treatment, rehabilitation, and support services in the community for persons with severe and persistent mental illness.

In Racine County, CSP programs support people with mental illness in their homes. Staff spend a great deal of time with people, helping them with daily activities, teaching skills, and assisting them with decisions. There are also opportunities for recreation and socializing. Staff make sure people take their prescribed medications, pay their bills, and be as independent as possible. 

Access to these services is based upon appropriateness and availability of the services. Contact Crisis Services at 262-638-6741 for more information.

Contact Us

Racine County Human Services Department provides services in the community for adults with severe and persistent forms of mental illness. This may include schizophrenia, bipolar disease, and major depression.  The goal of the services is to support adults in the community and reduce the need for hospitalization.  Racine County also provides a number of services for persons in crisis.

Jonathan Delagrave, Human Services Director, is responsible for the overall operation of the Department while Division Managers have more limited areas of responsibility. 

If you are receiving service from the Human Services Department your most effective way for communicating with the department is through the social worker or case manager assigned to you or their immediate supervisor.  Your social worker or case manager can tell you the name and contact information of their supervisor.  They can also provide information about appealing a decision that you believe is wrong.

If you are not receiving services from the department but wish to find out more information you may call 411 who will direct your call to the person or agency in Racine County that can provide the information you seek.

Complaints, compliments or other issues related to the Human Services Department or services for mental health or addiction may be directed to:

Jonathan Delagrave, Director Michelle Goggins, Manager
262-638-6646 262-638-6633
Jonathan.Delagrave@GoRacine.org Michelle.Goggins@GoRacine.org

Copyright 2006 - 2013 by Racine County