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New River Valley
Community Services has a legal, ethical, and moral responsibility to protect
your human rights, as well as the privacy and security of your personal
health information. This notice describes how protected health information
about you may be used and disclosed. Please review it carefully. As a
client, you have a right to the following:
1. To consent to
treatment and receive services in the least restrictive environment, and to
be free from any unnecessary use of seclusion, restriction, or time out. To
be treated with dignity and in a professional and courteous manner; to be
protected from harm including abuse, harassment, neglect and exploitation.
To use your preferred or legal name.
2. To have your
protected health information treated with confidentiality and not released
without written consent, except for situations required by law (such as
medical emergency; suspected child abuse or neglect; suspected adult abuse,
neglect or exploitation; threat to self or lives of others; court order).
You have the right to determine what information is disclosed, to whom, and
how it will be used. You have the right to be provided an accounting of
disclosures-except those routine disclosures necessary to carry out
treatment, payment and health care operations.
3. To read, correct, and
get a copy of your service record, except in instances as noted in NRVCS
privacy and security policies. You have the right to be notified of changes
in the regulations regarding privacy of protected health information.
4. To receive services
according to law and sound therapeutic practice. To be involved in all
aspects of your services, and provided information to help you make
decisions. To ask questions of your counselor/case manager about services,
including treatment and discharge planning and to share any concerns
regarding your service. To be provided help in learning about/applying for
any public services or benefits to which you are entitled.
5. To receive services
which meet your personal needs and abilities. To not be included in any
experimental program or research, or to be recorded by audio- video
equipment without your knowledge and written consent.
6. To have opportunities
to communicate in private with lawyers, judges, legislators, clergy,
licensed health care practitioners, legally authorized representatives,
advocates, the Inspector General; and have access to an advocate or
representative, self help groups, and legal services.
7. To engage or not
engage in work or work-related activities consistent with your service needs
while receiving services through NRVCS.
8. To know that in
day-to-day business practices, trained staff may handle your service record
in order to have the records assembled, available for review by the primary
Case Manager, or for filing of documentation. Certain data elements are
entered into our computer system for billing purposes, and for state
statistical reporting to DMHMRSAS. As part of our continuous Quality
Improvement efforts to provide the most effective services, your record may
also be reviewed by professional staff for accuracy, completeness and
organization.
9. To know that in order
to effectively provide treatment/service, your primary Case Manager may
consult with various service providers within the agency. During those
consultations, health information about you may be shared.
If you are unable to
resolve any problem with your services, ask to speak to a supervisor,
program director, the agency’s internal client advocate, or the agency
director. You also have the right to
contact the Local Human Rights Advocate
if you have a problem or complaint that has not been resolved to your
satisfaction. The Regional Human Rights Advocate is
available to assist with concerns or complaints specific to Human Rights
issues. The Regional Human Rights
Advocate is Ms. Nan Neese, DMHMRSAS Southwest Satellite Office, 340 Bagley
Circle, Marion VA 24354; Telephone: (276) 783-1219 or toll free (877)
600-7434.
If you file a complaint,
it will be acted upon through specific steps described in the Human Rights
Policy. These steps also provide for an appeals process if you are not
satisfied with the outcome of discussions or investigations. If these steps
do not help resolve the complaint, you may request to have your complaint
heard by the Local Human Rights Committee. You may request written
information about the appeals process from any NRVCS office or from the
regional advocate.
Our Human Rights Plan is
reviewed and recommended by a
Local Human Rights
Committee (LHRC) and by the State Human Rights Committee.
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