You have certain rights
when receiving mental health and substance abuse services within the
Southern Hills' Managed Care Network. Most important is your own
knowledge and understanding of the treatment you are to receive. Prior
to the beginning of treatment services, you are asked to sign a written
Consent for Treatment Form. This consent acknowledges your voluntary
participation and your understanding of these client rights. As
treatment begins, you will be asked to participate in the development of
your treatment goals.
Your Responsibilities Include:
Setting and keeping
appointments with your counselor (let them know as soon as possible if
you cannot keep an appointment), helping plan your goals, following
through on your goals, keeping your counselor informed of your progress,
and paying for the services you receive.
The Southern Hills
Managed Care Network provides a continuum of services.
These include outpatient, inpatient, and residential services. These
programs can involve 24-hour crisis intervention services, individual
treatment, group treatment, case management, acute detoxification
services, family support services, medication evaluation and monitoring,
and prevention services. Access to any of these services is
made through one of Southern Hills' outpatient offices. The length of
time that you will remain eligible to participate in the program is
determined by your identified needs -- which are established during the
initial and ongoing assessments.
Mental Health and Substance
Abuse Consumer Rights
Professional Standards.
The right to receive services
in accordance with standards of professional practice, appropriate to
your needs, and which are meant and designed to give you reasonable
opportunity for improvement. This includes being informed of the
qualifications of your counselor. The provision of services shall be
responsive to each person’s age, gender, social supports, cultural
orientation, psychological characteristics, sexual orientation, physical
situation, and spiritual beliefs.
Treatment Plan Involvement.
The right to participate in
the development and review of your treatment plan, including known
effects of receiving or not receiving such treatment and alternative
treatment as may be available. And you retain the right to refuse
treatment.
Least Restrictive Setting.
The right to receive treatment
in the least restrictive setting of the Managed Care Continuum that
responds to your treatment needs.
Confidentiality.
The right to confidential
maintenance of information about yourself and treatment received. We
may not tell a person outside this agency that you attend our programs
or discuss any information identifying you as a client within our
services without your written authorization or as allowed by law
(including court orders, medical emergency, program evaluation by Center
staff, suspected abuse or neglect, to report a crime or a threat to harm
someone, etc.). Suspected violations of these confidentiality
requirements may be reported to appropriate authorities in accordance
with federal regulations. For legal references see: IC 16-14 & 16-4
(Indiana statutes), C42 U.S.C. 290dd-3 and 42 U.S.C. 290ee-3 (federal
laws), and 42 CFR Part 2 (federal regulations).
Right to Request a Different Therapist or
Case Manager.
The right to request a different
therapist or case manager at any point throughout the treatment
process. This right may be restricted if you are an involuntary
referral to counseling, or if there are limited agency resources to
respond to your request.
Access to Records.
The right to inspect your own
record in the presence of your primary therapist and, under most
conditions, the right to have a copy of your own record at your expense.
Freedom of Religion.
The right to practice the
religion of your choice or to abstain from religious practices.
Constitutional/Civil
Rights. The right to exercise
constitutional, statutory, and civil rights, except those denied or
limited by court action. No person shall, on the grounds of race,
religion, ethnicity, color, national origin, ancestry, age, handicap, or
sexual preference, be excluded from participation in, be denied the
benefit of, or be otherwise subjected to discrimination under any
program or activity of the Southern Hills' Managed Care Network in the
provision of its services.
Consumer Conduct.
All consumers shall conduct themselves in an appropriate manner. Rule
violations may lead to a limitation or termination of service. In some
cases the police may be called. Visitors and staff shall not: 1) carry
or be under the influence of intoxicating beverages or illegal
substances; 2) steal, attempt to steal, or deface property of Southern
Hills or visitors to Southern Hills; 3) assault or sexually harass
anyone; 4) possess firearms or dangerous weapons; 5) threaten,
intimidate, coerce, or interfere with other people; 6) falsify
information provided to Southern Hills; 7) smoke inside any Southern
Hills facility. Services may also be limited or terminated if a
consumer fails to keep their scheduled appointments.
Reinstatement.
If your services have been limited
or terminated, you may request a review of the situation and
reinstatement of those services from the Clinic Manager. The Clinic
Manager will provide you with information about if and how reinstatement
can occur based upon the circumstances of the restrictions.
Protection From Abuse.
The right to humane care and
protection from harm. Staff are prohibited from any use of
psychological abuse, including humiliating, threatening, and exploiting
actions. All instances of abuse or neglect of an adult should be
reported to Adult Protective Services Unit (Adult Abuse Hot Line) at
1-800-992-6978. Circumstances of child abuse and neglect should be
reported to the local County Division of Family and Children's Services
or to the local Police Department. There are two other Indiana agencies
that help clients in securing their rights to appropriate care, freedom
from harm, and appropriate treatment – the Indiana Advocacy Service
(also known as Indiana Protection and Advocacy Services) at
1-800-622-4845 and, for eligible consumers, Legal Services Organization
(LSO) at 1-800-382-2018.
Waivers.
At no time will admission to
services be conditional upon a person's waiver of their rights.
However, you retain the option to waive any of your rights. Such a
waiver must be given voluntarily, knowingly, and in writing and can be
withdrawn at any time.
Access to Information.
The right to access
information in sufficient time to facilitate your decision making.
Informed Consent.
The right to have informed
consent, refusal, or expression of choice regarding: 1) the delivery of
services; 2) release of confidential information; 3) any concurrent
services; or 4) the composition of your treatment team.
Copy of Rights.
The right to receive a copy of
the Client Rights Statement upon your request.
Legal Counsel.
The right to contact or consult with legal counsel of your choice at
your own expense.
Consumer Advocate;
Questions, Concerns, or Grievances.
The right to have your
questions answered or to make complaints about services you receive or
violations of these rights...and to have those complaints heard and
decided promptly. If you have a grievance or complaint, Southern Hills
staff will contact you within 5 days to discuss the complaint and update
you as to the status of the investigation. Any complaint should be
taken to:
Øyour
therapist,
Øthe
Clinic Manager in the Southern Hills Office serving you, or
Øthe
Southern Hills Deputy Director at 1-800-883-4020 (or in Dubois County
482-3020). If these concerns cannot be resolved to your
satisfaction, you may also contact:
ØThe
Indiana Mental Health Ombudsman Program at 1-800-555-6424 or
ØThe
Indiana Division of Mental Health Consumer Service from 8:30 a.m. to 5
p.m. Monday through Friday at 1-800-901-1133. Your expression of a
question, concern, or grievance will not result in any retaliation or
barrier being placed on your access to services.
Other Rights.
There are additional rights
for Inpatient Services and Residential Services that would be provided
to you upon referral to those programs.
10/23/2009