Client Rights

 

  Insight Family Center, LLC

5884 Faringdon Place, Suite 200, Raleigh, NC 27609   919.239.4041 (O)   919.239.4280 (F)

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It is the policy of INSIGHT FAMILY CENTER, LLC. to assure basic human rights to each client served.  These rights include the right to dignity, privacy, humane care, and freedom from mental and physical abuse, neglect and exploitation.  INSIGHT FAMILY CENTER, LLC.  shall assure to each client the right to live as normally as possible while receiving care or treatment.

 

The state of North Carolina’s Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) requires all area programs and their affiliates to inform all persons receiving services of their rights as defined in APSM 95-2  and in General Statue 122-C, Article 3.

 

• Right to dignity, privacy, humane care, and freedom from mental and physical abuse, neglect and exploitation.

• Right to treatment and care based on the normalization principle

•  Right to receive age-appropriate treatment, access to medical care and habilitation, and the right to an individualized treatment plan at the time of admission to maximize development or restoration of his/her capabilities regardless of age or degree of MH/IDD/SA disability.

• Right to be informed in advance of the potential risks and alleged benefits, and alternatives to the program choices

• Right to confidentiality

• Right to be free from unnecessary or excessive medication. Medication shall not be used for punishment, discipline or staff convenience

• Right to consent to or to refuse any treatment offered, including behavior management policies, except high certain emergency situations

• Right to request notification after occurrence of any or specified interventions

• Right to be informed  of emergency procedures

• Right to exercise all civil rights. Certain civil rights may be limited if a client has been adjudicated incompetent.

• Right to certain safeguards and carefully controlled circumstances when interventions are used

• Right to be free of corporal punishment, and to be free of harm, abuse, and exploitation

• Right to be free of restrictive interventions including, but not limited to physical restraint, isolation or seclusion except when there is imminent danger of abuse or injury to oneself or others, when substantial property damage is occurring, or when it’s necessary as a palm of treatment/habilitation

• Right to be free from threat or fear of unwarranted suspension or expulsion

• Right to be free from unwarranted invasion of privacy

• Right to be free from unwarranted search and/or seizure

• Right of the person legally responsible for a minor or an incompetent adult to request notification of the use of an intervention procedure

• Right to request notification or the restriction of rights

• Clients are promptly notified of any changes in the services to be furnished or liability for payment.  Clients are given prompt, written information about the changes in the Clients Rights.

• Each client or responsible person shall receive a copy of Client and Family Policies and Procedures that relate to services provided by INSIGHT FAMILY CENTER, LLC.

• I understand my rights as a client or the client’s legally responsible person.  I have received a copy of the Client Rights Handbook.

• Each client or responsible person shall participate in the development of their individualized treatment plan and will receive a copy after completion of the plan prior to service delivery.

 

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Local Review of Reduction, Suspension, Termination or Denial of Services

All clients have the right to appeal the area program’s decision to reduce, suspend, terminate or deny a service. Any client wishing to appeal such a decision will be given a copy of the consumer grievance form as well as a copy of Insight Family Center, LLC.’s grievance policy. Once a grievance/appeal has been filed, it is reviewed at the local level. If the grievance is not resolved at that level, subsequent steps are management team review, review by the Director, review by Insight Family Center, LLC.’s Client Rights Committee and review by the Board. Board is the last step in the grievance/appeal process at Insight Family Center, LLC.

 

In addition to Insight Family Center, LLC.’s grievance process, Medicaid-eligible clients also have the right to appeal the area program’s decision to reduce, suspend, terminate or deny a service to the State Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DHM/DD/SAS) and/or the Office of Administrative Hearings  (OAH).

All clients and parent/guardian will be informed of their specific appeal rights when the decision to reduce, suspend, terminate or deny a service is made.

 

 

If it is determined that restriction of a right is indicated, the following procedures must be followed:

• A written statement will be placed in the client’s record indicating in detail the reason for the restriction.

• Less intrusive alternatives are thoroughly, systematically, and continuously considered and used. (ex. loss privileges will be taken due to negative behavior or inappropriate behavior.) Privileges taken will vary due to each client situation.

• A restriction is effective for a period not to exceed thirty days.

• Restrictions on rights may be renewed only by written statement entered by the qualified professional in the client’s record that states the reason for the renewal of the restriction.

• Notification of the designated individual or legally responsible person shall be documented in writing in the client’s record.

• The Program Manager and the staff involved in the implementation of the treatment plan shall be responsible for informing the client and parent/guardian of the rights that are being restricted.

 

Grievances

• Right to File a Grievance or Complaint with Insight Family Center, LLC. Client Rights Committee.

• Address complaints or grievances to the Insight Family Services- Client Rights Committee, 5884 Faringdon Place, Suite 200, Raleigh, NC 27609   919.239.4041 (O)   919.239.4280 (F)

• Each client shall be informed to his/her right to contact the Disability Rights NC 2626 Glenwood Ave. Suite 550Raleigh, NC,27608 877-235-4210 the statewide Agency designated under the Federal and State law to protect and advocate the rights of persons with disabilities.

• An Agency shall investigate within 72 hours; complaints made to the agency by a client or the client’s family and must document both the existence of the complaint and the resolution of the complaint.

 

 

HIPAA (Privacy Notification)

 

This information shall be accessed only by those who have a need to know and only for professional reasons. All individuals who have access to this information are bound by the Confidentiality and HIPAA Act. The doctrine of informed consent has been explained to me, and I understand the contents to be released and I also understand the importance and need for the requested information. I further understand that the information released may include but not limited to; drug or alcohol use, HIV/AIDS diagnosis; however this information can only be released with my consent.

 

By law Insight Family Center is required to insure that your Protected Health Information (PHI) is kept private. IFC will use and disclose your PHI for many different reasons. Some of the uses or disclosures will require your prior written authorization, whereas others may not require your authorization.  We provide you with this Notice of Privacy Practices explaining our legal duties and privacy practices with respect to health information.  We are legally required to follow the terms of this Notice.  If, at any time, you have question about information in this Notice or about our privacy policies, procedures or practices, you can contact the Privacy Officer at 919.239.4041

 

 

This section of our Notice explains in some detail how we may disclose health information about you in order to provide health care, obtain payment for that health care, and operate our business efficiently.

 

Information about an individual may be disclosed under the following circumstances:

1. Treatment

We may disclose information about treatment provided to you.  In other words, we may use and disclose medical information about you to provide, coordinate, or manage your care and related services.  This may include communicating with other human service providers regarding your treatment and coordinating and managing your care with others.

 

1. Payment

We may use and disclose health information about you to obtain payment for services that you received.  This means that, within Insight Family Center, LLC. ,we may use information about you to arrange payment (such as preparing bills and managing accounts).

 

1. Health Care Operations

We may use and disclose health information about you in performing a variety of business activities that we call “health care operations” which allow us among many things improve the quality of care we provide.  For example, we may use or disclose health information about you in performing the following activities:

1. Evaluating the qualifications and performance of providers taking care of you.

2. Providing training programs for staff to help them improve their skills.

3. Cooperating with outside organizations that evaluate or license facilities and programs.

4. Cooperating with outside organizations that assess the quality of the care others and we provide, including government agencies and private organizations.

5. Planning for our organization’s future operations.

6. Resolving grievances within our organization.

7. Reviewing our activities and using or disclosing health information in the vent that control or our organization significantly changes.

8. Working with others (such as lawyers, accountants, and other providers) who assist us to comply with organizational functions.

 

1. Persons involved in your care

We may disclose health information about you to a relative or other person you identify if that person is involved in your care and the information is relevant to your care.  If the client is a minor, we may disclose information about the minor to a parent, guardian, or other person responsible for the minor.

 

1. Required by law

We will use and disclose health information about you whenever we are required to do so by law.  There are many state and federal laws that required us to use and disclose medical information.  For example, state law requires us to report known or suspected child abuse or neglect to the Department of Social Services.  We will comply with those states laws and with all other applicable laws.

 

1. National priority uses and disclosures

When permitted by law, we may use or disclose health information about you for various activities that are recognized as “national priorities”.  In other words, the government has determined that under certain circumstances (described below) it is so important to disclose health information that it is acceptable to health information without the individual’s permission.  We will only disclose health information about you in the following circumstances when we are permitted to do so by law.  Below are brief descriptions of the “national priority” activities recognized by law:

1. Threat to health or safety:  We may use disclose health information about you in we believe it is necessary to prevent or lessen a serious threat to health or safety.

2. Public health activities:  We may use or disclose health information about you for public health activities. Public health activities require the use of health information for various activities, activities related to investigation of diseases, reporting child abuse and neglect, monitoring drugs or devices regulated by the Food and Drug Administration, and monitoring work-related illnesses or injuries.

3. Abuse, neglect or domestic violence:  We may disclose health information about you to a government authority (such as the Department of Social Services) if we have reasonable suspicion that you may be a victim or abuse neglect or domestic violence.

4. Health oversight activities: We may disclose health information about you to a health oversight agency, which is basically an agency responsible for overseeing the health care system or certain government programs.  For example, a government agency may request information from us while they are investigating possible insurance fraud.

5. Court proceedings: We may disclosure health information about you to a court or an office of the court (such as an attorney).  For example, we would disclose health information about you to a court if a judge ordered us to do so.

6. Law enforcement:  We may disclose health information about you to a law enforcement official for law enforcement purposes.  For example, we may disclose limited health information about you to a police officer if the officer needs information to health find or identify a missing person.

7. Research organizations:  We may use or disclose health information about you to research organizations if the organization has satisfied certain conditions about protecting the privacy of health information.

8. Certain government functions:  We have use or disclose health information about you for certain government functions, including but not limited to military and veterans’ activities and national and intelligence activities.  We may also use or disclose health information about you to a correctional institution in some circumstances.

 

1. Authorization

Other than the uses and disclosures described above (#1-6), we will not use or disclose health information about you without the “authorization” (signed permission) of you or your personal representative.  In some instances, we may wish to use or disclose health information about you and we may contact you to ask you to sign an authorization form.  In other instances, you may contact us to ask us to disclose health information and we will ask you to sign an authorization form.

 

If you sign a written authorization allowing us to disclose health information about you, you may later revoke (cancel) your authorization in writing.  If you revoke your authorization, we will follow your instructions except to the extent that we have already relied upon your authorization and taken some action.

 

You have several rights with respect to health information about you.  This section of the Notice will briefly mention each of these rights.

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Your Rights Regarding the Information About You:

 

1. Right to copy of this Notice

You have a right to have a paper copy of our Notice of Privacy Practices anytime.  In addition, a copy of this Notice will always be posted in our facilities.  If you would like to have a copy of our Notice, ask the staff for a copy.  Reasonable accommodations shall be made for clients with special needs such as visual impairment, reading comprehensive level, or non-speaking English.

 

1. Right of access to inspect and copy

   You have the right to review and receive a copy of medical information about you that we maintain in certain groups of records. If you would like to inspect or receive a copy of medical information about you, you must provide us with a request in writing.

 

We may deny your request in certain circumstances. If we deny your request, we will explain our reason for doing so in writing. If you would like a copy of the information, we will charge you a fee to cover the costs of the copy.

 

1. Right to medical information amended

You have the right to have us amend (which means correct or supplement) medical information about you that we maintain in certain groups of records. If you believe that we have information that is either inaccurate or incomplete. we may amend the information to indicate the problem and notify others who have copies of the inaccurate or incomplete information. If you would like us to amend information, you must provide us with a request in writing and explain why you would like us to amend the information.

 

We may deny your request in certain circumstances. If we deny your request, we will explain our reason for doing so. You will have the opportunity to send us a statement explaining why you disagree with our decision to deny your amendment request and we will share your statement whenever we disclose the information in the future.

 

1. Right to request restrictions on uses and disclosures

You have the right to request that we limit the use and disclosures of medical information about you for treatment payment and health care operations. We are not to agree with your request. If we do agree to your request we must follow your restrictions (except if the information is necessary for emergency treatment). You may cancel the restrictions at any time. In addition we may cancel a restriction at any time as long as we notify you of the cancellation and continue to apply the restriction to information collected before the cancellation.

 

1. Right to request an alternative method of contact

You have the right to request to be contacted at a different location or by different method. For example you prefer to have all written information mailed to your work address rather than to your home address.

 

We will agree to any reasonable request for alternative methods of contact. If you would like to request an alternative method of contact, you must provide us with a request in writing.

 

If you believe that your privacy rights have been violated or if you are dissatisfied with our privacy policies procedures, you may file a complaint either with us or with the federal government. We will not take any action against you or change our treatment of you in any way if you file a complaint.

 

To file a written complaint with Insight Family Center, LLC. , you may mail it to the following address.

 

Complaint Office/ Client Rights Committee

Insight Family Center, LLC

5884 Faringdon Place, Suite 200

Raleigh, NC 27609 

 919.239.4041 (O)   919.239.4280 (F)

 

 

 

 

 

 

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