Transcript PowerPoint Presentation - CE

Treatment Planning
Compiled by
Ce-Classes.com
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
Treatment Planning
 Counselors
are ethically responsible
for providing the best treatment
possible while protecting their clients’
well-being.
(Corey, Corey, & Callanan, 2003).
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.
Treatment Planning
 The
Commission was appointed by
President Bill Clinton, and co-chaired
by the Secretary of the Department
of Health and Human Services.
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.
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.
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.
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.
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
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.
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 highquality health care.
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.
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.
Respect and Nondiscrimination
 Clients
have the right to considerate,
respectful and nondiscriminatory care from
their doctors, health plan representatives,
and other health care providers.
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.
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.
Client Rights and Treatment
Planning
 These
are general categories of client
rights and treatment planning in
health care and treatment settings.
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.
Client Rights and Treatment
Planning
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
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
Treatment Rights
 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
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
Record Privacy And Access
 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
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
Communication Rights
 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
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
Personal Rights

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
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
Privacy Rights
 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
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
Miscellaneous Rights
 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
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
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.
Common Exceptions To
Confidentiality
 When
there is clear and present
danger or harm to self or another
identifiable person.
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.
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.
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.
Common Exceptions To
Confidentiality
 Parents
or legal guardians of nonemancipated minor clients have the
right to access the client’s records.
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)
Client Rights

Codes of ethics are available from a variety of
professional organizations–
–
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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)
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
Client Rights
 When
in doubt
– Ask your supervisor
– Consult the policy and procedure
manual for your agency
References
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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-intherapy/
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&sou
rce=web&cd=2&ved=0CDIQFjAB&url=http%3A%2F%2Fwww.hhs.state.tx.
us%2FaboutHHS%2FCR_Brochures%2FClientBrochureEnglish.pdf&ei=War
xUauGMoHu9ATMo4DIAw&usg=AFQjCNFHXP6yCdBJZMn2yBEDQz0OE6YZw&bvm=bv.49784469,d.eWU&cad=rja
Wisconsin Laws and Rules Retrieved from:
http://www.dhs.wisconsin.gov/clientrights/intro.htm