709.30 (2) LICENSURE Client rights
§ 709.30. Client rights.
The project shall develop written policies and procedures on client rights and document written acknowledgement by clients that they have been notified of those rights.
(2) The project may not discriminate in the provision of services on the basis of age, race, creed, sex, ethnicity, color, national origin, marital status, sexual orientation, handicap or religion.
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Observations
Ten client records were reviewed for client rights on March 23, 2017. The facility failed to include on the facility's Client Rights form the following verbiage: creed, ethnicity, color and religion.
These findings were reviewed with facility staff during the licensing process.
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Plan of Correction
The client rights form has been updated and will be implemented as of April 3, 2017 client admissions. The Outpatient Supervisor will review in treatment meeting on 3/30/17 the new form and clerical staff will update admission packets to include the new form. All old packets will be collected from staff stock I their offices. The change to the form is listed below as #6.
CARBON-MONROE-PIKE DRUG AND ALCOHOL COMMISSION, INC.
Policy: Consumer Rights/Responsibilities
Effective: April 3, 2017
YOUR RIGHTS
1. You can expect that your records are protected and kept private.
2. You can expect to have the right to look at your own record within five days of your written request to the Treatment Supervisor.
a. Be aware, that the Treatment Supervisor has the right to temporarily remove or blackout portions of the record that he/she feels may be harmful to your progress in treatment.
i. If you feel that a decision to restrict your access to the record is unfair, you may appeal that decision to the Commission's Quality Assurance team (Please refer to the Complaint/Grievance policy given to you upon admission or ask your counselor/caseworker how to file a Grievance).
b. If after you review your file, you find that you disagree with some part of the information contained in it, you may make a request to the Treatment Supervisor to have your file corrected or to have the data removed due to the information being inaccurate, irrelevant, outdated, or incomplete. However, if he/she does not grant your request, you may submit in writing "your side of the story" for the record.
3. You can expect to get a copy of any form you may be asked to sign.
4. You can expect to retain your civil rights and liberties while receiving care or treatment. You will not be deprived of a civil right solely by reason of treatment
5. You can expect to get services in a way that understands your cultural background and beliefs.
6. You will not be discriminated against in the provision of services on the basis of age, race, creed, sex, ethnicity, color, national origin, marital status, sexual orientation, handicap, or religion
7. You can expect to get services free of sexual bother such as: sexual offers, requests for sexual favors and other verbal or physical conduct of a sexual nature.
8. You can expect to choose where you want to get treatment, as long as that program meets the Level of Care recommendation and if the County is providing the funding for your treatment, the SCA must have a contract with that facility.
9. You can expect to be treated with respect by all of the Commission's staff members.
YOUR RESPONSIBILITIES
1. We expect that you will work with a counselor/case manager to develop a plan that is meaningful to the consumer.
2. We expect that you will follow the plan, including completing all recommended treatment and aftercare services.
3. We expect that you will tell their counselor, their supervisor or case manager if you do not feel safe in the treatment program.
4. We expect that you will talk to a counselor or case manager before leaving services.
5. We expect that you will be straight or sober while in the building.
6. We expect that you will treat all of our staff with respect.
7. We expect that you will pay for services at the time of your visit and that you will talk to your counselor about any changes, good or bad, with your financial situation or healthcare insurance coverage.
8. We expect that you will be here on the day and time you are scheduled for services or, at the very least, we expect you to call us in advance to explain way you cannot make your scheduled appointment. Telephone numbers to call are listed on the "Appointment Card" given to you at the end of scheduled session.
9. We expect, if funded by the SCA, that you will provide proof of income and residence
I have been offered a copy of this form which I have_____ have not_accepted. (please initial)
Consumer Signature: ____________________________________ Date:________________________
Witness Signature: _____________________________________ Date:_________________________
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