Skip to main content

Table 4 Subsections highlighting the need and potential roles of community pharmacist-administered injectable naltrexone for individuals who were formerly incarcerated

From: Community pharmacist-administered injectable naltrexone for individuals who were formerly incarcerated: a review of Wisconsin legislation and regulations

Subsections of statute chapters

 

Chapter 46: Social services [37]

 

46.234(2)(c)

The department shall maintain a registry of approved recovery residencies, and all residencies must agree to help facilitate active recovery for residents.

46.234(3)

The department may not include a recovery residence in the registry if it excludes a resident from participating in medication-assisted treatment.

46.482(2–4)

The department shall maintain a program to facilitate overdose treatment providers to help coordinate and continue care and treatment of individuals after an overdose, including referral to treatment services. Care coordination may include transportation to and from treatment. The department may seek grant funding to establish and maintain the program.

46.65(1)

The department shall implement a treatment alternative program. The department shall make grants to provide alcohol or other drug abuse services, as a treatment alternative in lieu of imprisonment, for eligible persons in need of those services. The department shall make grants so that the treatment alternative program serves a variety of geographic locations.

46.973(2)

A drug dependence and drug abuse program is established in the department. The secretary may develop and carry out programs concerned with education about and prevention of drug dependence and drug abuse and programs concerned with treatment and rehabilitation of drug dependent persons and persons who abuse drugs.

 

Chapter 51: State alcohol, drug abuse, developmental disabilities and mental health act [39]

 

51.41(1s)

The Milwaukee County Mental Health Board shall facilitate delivery of mental health services in an efficient and effective manner by making a commitment to community-based, person-centered, recovery-oriented, mental health systems and maximizing comprehensive community-based services.

51.448(1–3)

The department shall create and administer an addiction medicine consultation program to assist participating clinicians (physicians, nurse practitioners, and physician assistants) in providing enhanced care to patients with substance use addiction and to provide referral support for patients with a substance abuse disorder. The department shall review proposals and provide money to organizations seeking to provide consultation services through the addiction medicine consultation program under this section.

51.45(4)

The department shall develop, encourage and foster statewide, regional, and local plans and programs for the prevention of alcoholism and drug dependence and treatment of alcoholics, persons who are drug dependent, and intoxicated persons in cooperation with public and private agencies, organizations, and individuals and provide technical assistance and consultation services for these purposes. In doing so, the department shall coordinate with all public and private agencies, organizations and individuals interested in prevention of alcoholism and drug dependence and treatment of alcoholics, persons who are drug dependent, and intoxicated persons.

51.45(7)(a-c)

The department shall establish a comprehensive and coordinated program for the treatment of alcoholics, persons who are drug dependent, and intoxicated persons. The program of the department shall include outpatient and follow-up treatment. The department shall provide for adequate and appropriate treatment for alcoholics, persons who are drug dependent, and intoxicated persons.

 

Chapter 146: Miscellaneous health provisions [40]

 

146.89(3)(a-b)

Any volunteer health care provider and nonprofit agency whose joint application is approved may provide the following health care services: diagnostic tests, health education, information about available health care resources, office visits, patient advocacy, prescriptions, and referrals to health care specialists.

 

Chapter 301: Corrections [42]

 

301.068(1–2)

The department shall establish community services that have the goals of increasing public safety, reducing the risk that offenders on community supervision will reoffend, and reducing recidivism rates. In establishing community services, the department shall consider the capacity of existing services and any needs that are not met by existing services. The community services to reduce recidivism shall include: (1) alcohol and other drug treatment, including residential treatment, outpatient treatment, and aftercare and (2) treatment and services that evidence has shown to be successful and to reduce recidivism.

301.095

The Council on Offender Reentry shall do all of the following: (1) coordinate reentry initiatives and research federal grant opportunities, (2) identify methods to improve collaboration and coordination of offender transition services, (3) identify funding opportunities to maximize the use of state and community-based services as the services relate to reentry, (4) identify and review existing reentry policies, programs, and procedures, (5) promote collaboration and communication between the department and community organizations that work in offender reentry, (6) work to include victims in the reentry process and promote services for victims while the offenders are incarcerated and after the offenders are released.

 

Chapter 450: Pharmacy examining board [43]

 

450.033

A pharmacist may perform any patient care service delegated to the pharmacist by a physician.

 

Subsections of administrative code chapters

 

Chapter 302: Inmate classification, sentence, and release provisions44]

 

302.34(7)

If the special action release (SAR) is granted, the secretary may impose in writing any special conditions that are appropriate. The conditions that the secretary may impose include requirements for outpatient treatment, including treatment for alcohol abuse or other drug abuse.

302.35(3)

The department shall consider all of the following when making a decision to release an inmate under this section: (1) the inmate can complete programming and treatment in the community without presenting undue risk and (2) the inmate has developed an adequate release plan.

 

Chapter 333: Incentive sanctions [45]

 

333.05(2)

Division of intensive sanctions (DIS) staff shall explain to the inmate the DIS rules of supervision and describe the treatment and services available, including mental health outpatient treatment and services and alcohol or other drug abuse outpatient treatment and services.

 

Chapter 105: Substance Abuse Screening, Testing and Treatment for Certain Department Work Experience Programs [46]

 

105.06(1–2)

Every individual who tests positive for the use of a controlled substance without presenting evidence of a valid prescription shall be required to participate in treatment in order to be eligible to participate in a work experience program. The administering agency shall provide information to every individual required to participate in controlled substance abuse treatment about treatment program providers.

 

Chapter 36: Comprehensive community services for persons with mental disorders and substance-use disorders [47]

 

36.07(3)

Each comprehensive community services (CCS) program shall have a written plan that shall include description of the currently available mental health, substance-use disorder, crisis services, and other services in the county or tribe and how the CCS will interface and enhance these services. The description shall include policies and procedures for developing and implementing collaborative arrangements and interagency agreements.

36.17(4a)

Psychosocial rehabilitation and treatment services shall be provided in the most natural and least restrictive manner and most integrated settings practicable consistent with current legal standards, be delivered with reasonable promptness, and build upon the natural supports available in the community.

 

Chapter 38: Substance Abuse Screening, Testing and Treatment for Certain Department and Employment and Training Programs [48]

 

38.06(1–2)

Every individual that tests positive for the use of a controlled substance without presenting a valid prescription shall be required to participate in trauma-informed controlled substance abuse treatment to remain eligible to participate in an employment and training program.

 

Chapter 66: Treatment Alternative Program [49]

 

66.05

Each TAP agency shall negotiate a written agreement with local criminal justice system components to assure the effective and accountable operation of the local TAP and maintain necessary communications regarding potential clients referred from the criminal justice system. They shall also maintain working relationships and mutual agreements with treatment agencies to assure the availability of treatment agency options, effective client referrals and necessary tracking and monitoring activities.

66.08(2)

Within 48 h after the assessment is completed, a client shall be referred to a treatment program. If a treatment placement is not immediately available, TAP staff shall monitor the client during the interim period.

 

Chapter 75: Community Substance Use Services Standards [50]

 

75.49

“Outpatient substance use treatment service” means a non-residential treatment service in which substance use treatment personnel provide screening, assessment, and treatment for substance use disorders. A service may provide outpatient substance use treatment services in the community or other locations, provided all requirements of this chapter are able to be met in the setting, the services has written policies and procedures, and the services provides annual training for all staff.

 

Chapter 83: Community-based residential facilities [51]

 

83.37(1)(e)

If residents’ medications are administered by a community-based residential facility (CBRF) employee, the CBRF shall arrange for a pharmacist or a physician to review each resident’s medication regimen. This review shall occur within 30 days before or 30 days after the resident’s admission, whenever there is a significant change in medication, and at least every 12 months. At least annually, the CBRF shall have a physician, pharmacist, or registered nurse conduct an on-site review of the CBRF’s medication administration and medication storage systems.

83.37(1)(h)

When a psychotropic medication is prescribed for a resident, the CBRF shall ensure the resident is reassessed by a pharmacist, practitioner or registered nurse at least quarterly.

83.37(1)(k)

The CBRF shall report all errors in the administration of medication, any adverse drug reactions, and any resident who refuses a medication for two consecutive days to a licensed practitioner, supervising nurse or pharmacist immediately.

83.37(2)(b)

When medication administration is supervised by a pharmacist, the CBRF shall ensure that the pharmacist coordinates, directs and inspects the administration of medications and the medication administration system, participates in the resident’s assessment and development and review of the individual service plan regarding medical conditions and goals of the medication regimen.

83.37(1)(h)

The CBRF shall provide medication administration appropriate to the resident’s needs.

 

Chapter 107: Covered services [52]

 

107.10(5)

The pharmacist shall review the drug therapy before each prescription is filled or delivered to an MA recipient and offer consultation.

 

Chapter 7: Pharmacy practice [54]

 

7.02(3)(a)

A practitioner may transmit a prescription order electronically only if the patient approves the transmission and the prescription order is transmitted to a pharmacy designated by the patient.

7.03(1)

A pharmacist shall complete a drug utilization review by reviewing the patient record prior to dispensing each prescription drug order.