client rights

WELCOME!WELCOME!Press the space bar or “enter” key to start

Turning Point Services Turning Point Services sayssays

TPS Core Competency TPS Core Competency TrainingTraining

Revised 07/2007

TPS CompetencyTPS Competency

All persons providing services at TPS must demonstrate an understanding of the following key concepts:

Knowledge of CAP & other services: definitions and documentation

Understanding of the philosophy of positive interventions


Philosophy and process of person-centered planning

Basic communication skills: for people with developmental disabilities and with support teams

Characteristics of mental retardation and other disabilities


Positive training and behavioral support techniques

Specific knowledge of the service plan: desired outcomes, services, individual needs

Rights, confidentiality, abuse and neglect

Prevention of crises; early crisis intervention


Incident/accident reportingDecision-making, methods to

inspire informed decisions and consents

Restrictive InterventionsAvoiding the use of restrictive

interventions Contract Services


This package is designed to guide you through most of the required competency areas. Read through

each section, discuss any questions with your Qualified Professional

(QP), then complete the short quiz. When you have completed all

sections, sit down with your QP to finish the training and complete the

competency checklists.

Client RightsClient Rights

TPS Core Competency Training

Key ConceptsKey Concepts

RightsAbuse, Neglect, ExploitationPrivacyDecision-making, ChoicesGuardiansConfidentiality

Constitutional Rights for Constitutional Rights for AllAll

Freedom of speechRight to due processFreedom of religionFreedom of associationFreedom of assemblyEqual protection of the lawRight to privacy

Other Rights for People in Other Rights for People in ResidencesResidences

Wear own clothesKeep and use personal possessionsKeep and spend own moneyAccess to storage spaceSee visitors everydayReasonable access to telephoneFreedom from searches if no due

cause

Decisions and ChoicesDecisions and Choices

Everyone, including people with guardians, has the right to make

decisions concerning:

Daily routine Clothes, food, & recreation Friends and relationships, even

marriage Personal money Work


• Some adults may not be competent to make all life decisions, and a judge may name a guardian for that person .

• Even so, our job is to help people make decisions and choices to the best of each person’s ability.


• Some adults may have a guardian named by the courts to help make major decisions regarding residence, work, health care, and money.

• There are only three types of guardians in North Carolina.

• Three guardian types:

General, for both financial and life decisions

Guardian of the Person, for life decisions

Guardian of the Estate, financial


A “legally responsible person” makes decisions for minors if he/she is:

A parentGuardian ad litemParent by adoptionOr otherwise appointed by the

court

Rights: Privacy MeansRights: Privacy Means

Personal hygiene

Personal space

Personal conversations

Personal possessions

Rights: Privacy MeansRights: Privacy Means

Time to be alone

Personal information

Sexual expression

Friends and family

Confidential Means to Confidential Means to NOTNOT

Talk about consumers with your friends

Let other people read files/notes

Give information without signed consent

Discuss situations at work with others

Informed ConsentInformed Consent

Information about someone we work with cannot be shared

without written consent. Consent has 4 parts:

1. What information will be shared2. Who will receive the information3. The reason for sharing the

information4. How long the consent lasts

Informed ConsentInformed Consent

Using the 4 parts of informed consent, a written consent

example might contain:1. Current medications Bob takes will

be shared with…2. Dr. D Smith, MD…3. To help with Bob’s next

examination.4. This consent is valid for 6 months.

Informed ConsentInformed ConsentPenalties for releasing confidential

information without proper consent:

Fines up to $500.00Disciplinary action or dismissal from

jobMisdemeanor conviction

You will learn more about privacy protections from the HIPAA training

in your Employee Handbook.

Abuse, Neglect, Abuse, Neglect, ExploitationExploitation

Abuse is:

Deliberate infliction of mental or physical pain

Unreasonable confinementNot providing services

important to health and safety


Neglect is failing to provide care or services necessary to maintain:

Mental healthPhysical healthGeneral well-being


For professionals like us, poor quality care and service can be considered neglectful, even abusive.


• Exploitation is illegal and unauthorized use of a consumer or a consumer’s resources for another person’s:

ProfitAdvantageBusiness


Child abuse is the abuse of a person under 18 years of age which may include:

Physical, sexual, or emotional abuse

NeglectExploitationAbandonment


• Elder or dependent adult abuse is the abuse neglect, or exploitation of elderly persons or other adults who have disabling conditions that create some dependency on others

Adult abuse includes:

Physical abuse

Psychological abuse

Financial exploitation


• If you suspect or have any questions about possible abuse, neglect, or exploitation of consumers, you MUST report this immediately.

Make your report to:

Your assigned QP, or

Any other available QP in the local office, or

the Clinical Director at (828-433-4719)


Ultimately, anyone who has knowledge of abuse, neglect or exploitation must report this to the local Department of Social Services. Get help from your local QPs, or from the CQI or Clinical Directors.


Failure to report possible instances of abuse, neglect, or exploitation is a punishable offense and may result in:

Loss of job

Conviction of a misdemeanor

Fine


Any Turning Point employee who abuses, neglects, or exploits a consumer will:

Lose his/her jobAppear on a state-wide registry

of violatorsAnd may be prosecuted, fined,

and/or jailed

Abuse , Neglect, and Abuse , Neglect, and ExploitationExploitation• Every employee has the responsibility to

interrupt and report the behavior of a colleague that is neglectful, disrespectful, or abusive.

• Such behavior can lead to great distress in person with limited coping skills.

• Intervene quickly to stop the exchange between the colleague and consumer.

• Consult with colleague and a supervisor the same day.

Please move on to Please move on to Interaction & CommunicationInteraction & Communication

End End ShowShow

client rights

Documents

exploitation abuse

exploitation neglect

exploitation exploitation

informed decisions

informed consent information

life decisions guardian

major decisions

tps competency philosophy