Treatment Planning

1. Treatment Planning Compiled by Ce-Classes.com

2. Learning Objectives After completing this course, participants will be able to: Identify categories of Treatment Planning Describe specific client rights Identify limits of confidentiality in treatment

3. Treatment Planning (Corey, Corey, & Callanan, 2003). Counselors are ethically responsible for providing the best treatment possible while protecting their clients’ well-being.

4. Treatment Planning In March 1998, the Advisory Commission on Consumer Protection and Quality in the Health Care Industry issued its final report, which included the Consumer Bill of Rights and Responsibilities.

5. Treatment Planning The Commission was appointed by President Bill Clinton, and co-chaired by the Secretary of the Department of Health and Human Services.

6. Treatment Planning • The purpose of the Bill of Rights is: • To build up consumer confidence in the health care system, by making it easy for consumers to participate actively in their own health care.

7. Treatment Planning • The purpose of the Bill of Rights is: • To strongly support the importance of a good healthcare provider and that of a good provider-patient relationship.

8. Treatment Planning • The purpose of the Bill of Rights is: • To emphasize and support the importance of the consumers' role in making sure they have rights and responsibilities with regard to health improvement.

9. Consumer Bill of Rights The following section, Consumer Bill of Rights, was developed by the federal government. This has been used as a foundation for many health plans, including the federal-government-sponsored health plans.

10. Consumer Bill of Rights • It includes the following categories of client rights: • Information Disclosure • Choice of Providers and Plans • Access to Emergency Services • Participation in Treatment Decisions • Respect and Nondiscrimination • Confidentiality of Health Information • Complaints and Appeals

11. Information Disclosure Clients have the right to receive accurate and easily understood information about their health plan, health care professionals, and health care facilities. If clients speak another language, have a physical or mental disability, or just don't understand something, assistance will be provided so clients can make informed health care decisions.

12. Choice of Providers and Plans Clients have the right to a choice of health care providers that is sufficient to provide them with access to appropriate high-quality health care.

13. Access to Emergency Services If clients have severe pain, an injury, or sudden illness that convinces them that their health is in serious jeopardy, the client has the right to receive screening and stabilization emergency services whenever and wherever needed, without prior authorization or financial penalty.

14. Participation in Treatment Decisions Clients have the right to know all their treatment options and to participate in decisions about their own care. Parents, guardians, family members, or other individuals that Clients designate can represent them if the client cannot make their own decisions.

15. Respect and Nondiscrimination Clients have the right to considerate, respectful and nondiscriminatory care from their doctors, health plan representatives, and other health care providers.

16. Confidentiality of Health Information Clients have the right to talk in confidence with health care providers and to have their health care information protected. Clients also have the right to review and copy their own medical record and request that their physician amend their record if it is not accurate, relevant, or complete.

17. Complaints and Appeals Clients have the right to a fair, fast and objective review of any complaint they have against their health plan, doctors, hospitals or other health care personnel. This includes complaints about waiting times, operating hours, the conduct of health care personnel, and the adequacy of health care facilities.

18. Client Rights and Treatment Planning These are general categories of client rights and treatment planning in health care and treatment settings.

19. Client Rights and Treatment Planning For clinicians, staff support and other health care workers, it may be easier to conceptualize the general client rights into different categories – ones that are a bit more descriptive.

20. Client Rights and Treatment Planning Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • A treatment related perspective of client rights might better be described in these categories • Treatment rights • Record privacy and access • Communication rights • Personal rights • Privacy rights • Miscellaneous rights

21. Treatment Rights Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • Clients have a right to: • Receive prompt and adequate treatment • Participate in their treatment planning • Be informed of their treatment and care • Refuse treatment and medications (unless court-ordered) • Be free from unnecessary or excessive medications

22. Record Privacy And Access Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • Clients have a right to: • Have their patient information confidential • Not have their records released without their consent (with some exceptions) • See their records (during treatment, access may be limited) • Challenge the accuracy, completeness, timeliness or relevance of entries in their records

23. Communication Rights Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • Clients have a right to: • Have reasonable access to a telephone * • See (or refuse to see) visitors daily * • Send or receive mail • Contact public officials, lawyers or patient advocates *restrictions may apply based upon program rules and level of care

24. Personal Rights Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • Clients have a right to: • Have the least restrictive environment given their history and needs • Not be secluded or restrained except in an emergency when necessary to prevent harm to self or others • Have regular and frequent exercise opportunities* • Have regular and frequent access to the outdoors* • Have staff make reasonable (non-arbitrary) decisions about them • Refuse to work – except for personal housekeeping tasks • Be paid for work they agree to do that is of financial benefit to the facility *restrictions may apply based upon program rules and level of care

25. Privacy Rights Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • Clients have a right to: • Not be filmed or taped without his or her consent • Have privacy in toileting and bathing * • Have a reasonable amount of secure storage space for his or her possessions * *restrictions may apply based upon program rules and level of care

26. Miscellaneous Rights Complied from state rules in multiple states including but not limited to Wisconsin, Texas, Florida, Idaho - Specific laws vary from state to state – use the state guidelines for the location in which you practice • Clients have a right to: • Be treated with dignity and respect by all staff of the provider • Be informed of his or her rights • Be informed of any costs of his or her care • File complaints about violations of his or her rights • Be free from any retribution for filing complaints

27. Client Rights and Treatment Planning Confidentiality is a basic client right However it is not absolute There are both federal and state guidelines which dictate exceptions to client confidentiality.

28. Common Exceptions To Confidentiality When there is clear and present danger or harm to self or another identifiable person.

29. Common Exceptions To Confidentiality In case of apparent child abuse or vulnerable adult. Licensed professionals in all states are required by law to report instances of physical and sexual abuse of children and vulnerable adults.

30. Common Exceptions To Confidentiality In the event of a court order for information. In the event a client reports sexual conduct with other licensed professionals.

31. Common Exceptions To Confidentiality In the event the parents or spouse of a deceased patient seek to exercise legal right to access to their deceased child’s or spouse’s health care records. In the event an unpaid bill is turned over to a collection agency.

32. Common Exceptions To Confidentiality Parents or legal guardians of non-emancipated minor clients have the right to access the client’s records.

33. Client Rights Codes of ethics serve to guide practitioners toward responsible practice while holding them accountable for their professional behavior. (Corey, 2003; Herlihy & Corey, 1996)

34. Client Rights • Codes of ethics are available from a variety of professional organizations- • National Association of Social Workers (NASW) • American Psychological Association (APA), • American Counseling Association (ACA), • American Mental Health Counselors Association (AMHCA), • American Association for Marriage and Family Therapy (AAMFT), to name a few. • Although the content of their respective codes is similar, differences exist in their areas of emphasis and specialization (Corey, 2003)

35. Client Rights • Client rights are not absolutes, and there may be exceptions based upon: • The kind of treatment • Under what conditions the client entered treatment (for example court order vs. voluntary) • In what state the treatment is occurring

36. Client Rights • When in doubt • Ask your supervisor • Consult the policy and procedure manual for your agency

37. References Florida Laws and Rules Retrieved From: http://doh.state.fl.us/mqa/Profiling/billofrights.htm Grohol, J. (2013). Your Patient Rights in Therapy. Retrieved from: http://psychcentral.com/blog/archives/2009/10/15/your-patient-rights-in-therapy/ National Institutes of Health (NIH) Bill of Rights Retrieved from: http://www.cc.nih.gov/participate/patientinfo/legal/bill_of_rights.shtml President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Patients’ Rights and Responsibilities. Accessed August 11, 2011. Retrieved from: http://www.nlm.nih.gov/medlineplus/ency/article/001947.htm Texas Laws and Rules Retrieved from: http://www.google.com/url?sa=t&rct=j&q=client%20rights%20texas&source=web&cd=2&ved=0CDIQFjAB&url=http%3A%2F%2Fwww.hhs.state.tx.us%2FaboutHHS%2FCR_Brochures%2FClientBrochureEnglish.pdf&ei=WarxUauGMoHu9ATMo4DIAw&usg=AFQjCNFH-XP6yCdBJZMn2yBEDQz0OE6YZw&bvm=bv.49784469,d.eWU&cad=rja Wisconsin Laws and Rules Retrieved from: http://www.dhs.wisconsin.gov/clientrights/intro.htm