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Printable Version
BLUE VALLEY BEHAVIORAL HEALTH
CLIENTS RIGHTS AND RESPONSIBILITIES
While a client at Blue Valley Behavioral Health, you have rights and responsibilities:
You have the right to:
| • | Reasonable access to treatment services regardless of race, religion, gender, ethnicity, sexual orientation, age, disability, or economic status. No one will be denied service because of inadequate financial resources. |
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Have your cultural, psycho social, spiritual, and personal values, beliefs, and preferences respected. |
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Be treated with personal dignity and respect. |
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Actively participate in the development and implementation of your individualized treatment. |
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Obtain complete information from your provider about your mental health status, diagnosis, treatment options and prognosis in terms you can understand in order to make informed decisions. |
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Know the name and specialty of the provider primarily responsible for your care and to receive services from staff that adhere to Professional Standards and Ethics. |
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Be free from all forms of abuse or harassment. |
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Be free from restraints of any form. |
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Access protective and advocacy services. |
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Choose or to refuse treatment offered, to the extent permitted by law. |
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A second- opinion at your own expense or an in house review of your treatment. |
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Terminate services, and to receive notice before the agency terminates or suspends your services, and to be informed of the appeal process. |
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Confidential treatment. Occasionally, client information is reviewed for internal audit, accreditation, or regulatory purposes. Releasing information without your consent or guardians consent will occur only as required by law or in the event of a court order. Interviews can be audio taped or videotaped only with your written permission. |
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Reasonable privacy during treatment. |
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Access, request amendment to, and receive an accounting of disclosure regarding your clinical record in accordance with the law. |
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Expect that reasonable efforts will be made to accommodate your special needs (e. g. hearing impaired, language differences, literacy, etc.) which may provide barriers to access and utilization of services. |
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Examine the result of the most recent survey of the facility conducted by a representative of DHHSS. |
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File a grievance if you think your rights have been violated. You will be informed of the procedures during your orientation. |
As a client you are responsible to Blue Valley Behavioral Health, its staff and providers for:
You are responsible for:
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Providing, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications, and other matters relating to your behavioral and physical health. |
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Reporting perceived risks in your care or unexpected changes in your condition. |
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Carefully reading and understanding any papers you may be asked to sign in relation to your treatment. |
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Following the treatment plan developed with your health care provider unless you choose to decline treatment. |
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Accepting responsibility for the outcome if you refuse treatment or do not follow the providers’ instructions and proposed course of treatment. |
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Asking staff if you don’t clearly understand your planned treatment, diagnosis, expected outcome or what is expected of you. |
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Following through on the treatment plan you and your provider make together, including returning for follow-up appointments. |
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Abide by the agency’s rules and regulations affecting client care and conduct and be considerate of the rights of other clients and personnel. |
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Treating other clients and agency personnel with dignity and respect. |
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Keeping your personal belongings in a safe place; the agency is not responsible for replacing lost or broken items. |
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Honoring your financial contract by paying for the services you receive at the agreed-upon times and/or terms. You are also responsible for providing the agency with all information necessary for billing your health insurance or other third party insurance. |
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Communicating with your provider or any Blue Valley Behavioral Health staff member if you have concerns or suggestions about the care you receive here, so we can work together to provide you with the best possible service in the future. |
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